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Model Withdrawal Form

If you wish to withdraw from your purchase, you may use this form and send it to us by email or post. Use of this form is optional; any other clear statement informing us of your decision to withdraw is also sufficient.

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To:
Waibel e Waibel Lda.
Santo Estevão CP607
8300-047 Silves
Portugal
Email: info@essenciadaluz.pt

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

Product(s):

Order number:

Ordered on () / received on ():

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s):

(only required if this form is submitted on paper)

Date:

(*) Delete as appropriate.

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