Sample withdrawal form

(this form should be completed and returned only if you wish to withdraw from the contract)

Addressee:

Contact

DM Sorus Sp. z o. o.
Boznicza 15/6
61-751 Poznan
POLAND

sklep@sorus.pl

  • I/We(*) hereby inform about my/our withdrawal from the contract of sale of the following items(*) the contract for the delivery of the following items(*) the contract for a specific work consisting in the performance of the following items(*)/the provision of the following service(*)
  • Date of conclusion of the contract(*)/receipt(*)
  • Name and surname of consumer(s)
  • Address of consumer(s)
  • Signature of consumer(s) (only if the form is submitted in paper format)
  • Date

(*) Delete where not applicable.