Model withdrawal form

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

José Luís Santos Monteiro — Montarion Universe, Rua Sousa Pinto, 199, 1.º E, 4250-481 Porto, Portugal. montarionuniverse@gmail.com

I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods:

Save or print the completed form and send it to the seller. Filling it in does not send the notice. You may also withdraw by another unequivocal statement without using this form.

2011/83/EU · Annex I(B)