Addressee:

Berénykert Kft.

registered office/address: 8097 Nadap, Hegyalja út 7.

Email address: info@diobirtok.com

 

 

Withdrawal/Cancellation declaration form

(fill in and return only in case of intention to withdraw/terminate the contract)

           

I/we, the undersigned, declare that I/we exercise my/our right of withdrawal/termination with respect to the contract for the sale of the following product(s) or the provision of the following service:[1]

 

 

 

Date of conclusion of contract / date of acceptance:[2]

 

Name of the consumer(s):

 

Address of the consumer(s):

 

Signature of the consumer(s): (only in the case of a statement made on paper)

 

 

Dated

 

 

 

[1] Here it is necessary to indicate the product that is the subject of the contract

[2] To be marked with the appropriate underline

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