EU Model Withdrawal Form

Complete and return this form only if you wish to withdraw from the contract.

To: Couturierista, obrt za trgovinu i digitalne usluge, Gornji Sroki 66, 51216 Viškovo, Croatia
Email: info@couturierista.com

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

________________________________________

Ordered on / received on: ________________________

Order number: __________________________________

Name of consumer(s): ___________________________

Address of consumer(s): _________________________

Signature of consumer(s) (only if submitted on paper):

________________________________________

Date: _________________________________________