Cancellation statement sample



Addressee : Dóra Juhász ev

Recipient's e-mail address:

"I, the undersigned, declare that I exercise my right of withdrawal regarding the contract for the sale of the following product :                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

Date of order:

Date of receipt:

Order ID:

Buyer's name:

Buyer's address and phone number :

Buyer's e-mail address: (optional)

Bank account details (if the purchase price is reimbursed by bank transfer)

Bank account owner:

Bank account number:



Signature (in case of declaration on paper)