Withdrawal form

Withdrawal form

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

To: 4 Rumos, Sociedade Unipessoal, Lda (Platinum Portugal), Rua Teixeira Gomes, Lt 18 cv/B, 8600-587 Lagos, Portugal · info@platinumportugal.pt

I hereby give notice that I withdraw from my contract of sale of the following goods: …
Order no.: … · Ordered on: … / Received on: …
Name: … · Address: …
Signature (only if sent on paper): … · Date: …