Complete and return this form only if you wish to withdraw from the contract.
To:SYNEUTICA
Syneutica S.r.l.
Via Pinerolo 31
00182 Roma (RM) – Italia
Email: ordini@syneutica.it
Tel: +39 327 2816472
PEC: syneutica@legalmail.it
Email: ordini@syneutica.it
Phone: [Phone number, if any]
I/We hereby give notice that I/we withdraw from my/our contract of sale of the following goods / for the supply of the following service:
______________________________________________________________
Ordered on / received on:
______________________________________________________________
Name of consumer(s):
______________________________________________________________
Address of consumer(s):
______________________________________________________________
Signature of consumer(s) (only if this form is notified on paper):
______________________________________________________________
Date:
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Source: Annex I, Part B of Directive 2011/83/EU of the European Parliament and of the Council on consumer rights.