Complete and return this form only if you wish to withdraw from the contract.
A:I Ricami del Cuore
Via Lesina, 57
24030 Brembate di Sopra
BG
Italia
Email: info@iricamidelcuore.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:
______________________________________________________________
Ordinato il/ Ricevuto il:
______________________________________________________________
Nome cliente:
______________________________________________________________
Indirizzo del consumatore
______________________________________________________________
Signature of consumer(s) (only if this form is notified on paper):
______________________________________________________________
Date:
______________________________________________________________
Source: Annex I, Part B of Directive 2011/83/EU of the European Parliament and of the Council on consumer rights.