Model withdrawal form
You may use it, but you don't have to – any clear statement or the online form on the Returns | Complaints page is enough. Send the completed form to contact@kickomi.com or by post to the address below.
(complete and return this form only if you wish to withdraw from the contract)
To: Katarzyna Lizurej, ul. Stanisławowska 47, 54-611 Wrocław, e-mail: contact@kickomi.com
I/We(*) hereby give notice that I/we(*) withdraw from my/our(*) contract of sale of the following goods(*) / contract for the supply of the following goods(*) / contract for work consisting in the making of the following goods(*) / contract for the provision of the following service(*)
Date the contract was concluded(*) / date of receipt(*)
Name of consumer(s)
Address of consumer(s)
Signature of consumer(s) (only if this form is sent on paper)
Date
(*) Delete as appropriate.