​​Withdrawal form
(You must only copy, complete and send this form if you wish to withdraw from the contract)

 

For the attention of:
 
Rebeca López González  
CIF 21014477k
C/ Amado Granell Mesado 65, esc. 2 pt. 16 - 46013 Valencia
Email: info.rebecalopez@gmail.com
 
I hereby inform you that I withdraw from my contract of sale of the following good or goods (art, painting, stationery, design, shipping...)
 
Reference
Reference
Reference
Reference
 
– Belonging to order number .......................... with purchase date............... ........
 

– Name of the buyer
– Address of the buyer
 
If the shipping address is different from that of the buyer, you must fill out the following information:
 
- Recipient's name
- Address of the recipient
 
Consumer signature
 
Date (Only if this form is submitted on paper)
 
In it ………………. of ……………………..of 20……
 
Signature (only if submitted on paper):