WITHDRAWAL FORM
Model withdrawal form (you only have to fill in and send this form if you wish to withdraw from the contract).
For the attention of:
Company name: CENTROS TURÍSTICOS CULTURALES SL
Trade name: IBIZALOE®
Registered Office: Avenida de Portmany 84, Ibiza 07820 - Balearic Islands - Spain
CIF: B 57885758
Telephone: 971 343 811 Fax: 971 343 889
Email: info@ibizaloe.com
Registered in the Ibiza Registry, page IB-12436, volume 284, page 41
Domain name: http://www.ibizaloe.com
- I hereby inform you / we inform you that I withdraw from / we withdraw from our contract of sale of the following good / provision of the following service indicated in the contact form.
- Ordered on / received on (*)
- Name of the consumer and user or consumers and users
- Domicile of the consumer and user or consumers and users
- Signature of the consumer and user or consumers and users (only if this form is submitted on paper)
- Date
(*) Delete as appropriate