Withdrawal form in .docx

Standard form for the application for withdrawal from a distance and off-premises contract

Minister of Justice 17.12.2013. Regulation No 41 "Establishing a standard form and a model guide for withdrawals from a distance and off-premises contract" Annex 1

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

- To: Veetehnoloogia OÜ, Pae 4 80042, Pärnu, Estonia This email address is being protected from spambots. You need JavaScript enabled to view it.

 

- I hereby (*) withdraw from a contract concerning the following (*) / next service (*)

-------------------------------------------------- -------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

- Date of order (*) / date of receipt (*)

 

- Consumer name (s)

 

- Consumer address (es)

 

- Consumer signature (s) (only if this form is on paper)

 

- Date