📄 Withdrawal form

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

Addressee:
Stavros Chatzipavlou
Calle Feria 17, 3ºF, 02004 Albacete, Spain
ID CARD NO: Z2656463Z
E-mail: cm-suministros@outlook.com

Consumer/user data:

• Name and surname: ......................................................

• Address: ...............................................................................

• Telephone: ................................... E-mail: ..............................

Order details:

• Product/service: ...........................................................................

• Order number (if applicable): ...........................................................

• Date of purchase: ....... / ....... / 20....

• Date received: ....... / ....... / 20....

Declaration of withdrawal:

I hereby inform you that I withdraw from my distance selling contract concerning the above mentioned product/service.

I request full reimbursement of the amount paid, within the legal time limit of 14 calendar days from receipt of this notification, by crediting my bank account number: .................................................... or the card used for the original payment.

Place and date:
In ....................................................., at ....... of .......................... of 20....

Signature of the consumer/user:
…………………………………………………….

✅ This form can:

• Include it on the website (returns section).

• Attach it as a PDF with each order.

• Send copy by email to the customer in the confirmation of purchase.