Model withdrawal form

Complete and return this form only if you wish to withdraw from the contract.

To: FurMedia Demo Store
Demo environment, Bucharest, Romania
demo@prestashop.foxly.ro

I/We (*) hereby give notice that I/We (*) withdraw from the contract for the sale of the following goods (*)/supply of the following service (*):

Goods/services: ________________________________________________

Ordered on (*)/received on (*): __________________________________________

Name of consumer(s): ____________________________________________

Address of consumer(s): __________________________________________

Signature of consumer(s) (paper form only): ______________________________

Date: ____________________

(*) Delete as appropriate.