Withdrawal form

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Right of withdrawal form – application for withdrawal (only fill in and send this form if you want to withdraw from the contract)

Date: ___

Name of the Seller: SIA “AP MAKSI”

Seller’s (physical) address: 301а Latgales Street, Riga, LV-1063

Seller’s telephone number: +371 26004302

Seller’s e-mail address: sleeppoint.lv@gmail.com

Consumer’s name: ________________________

Consumer’s address: ________________________

Product name: ________________________

Date of purchase: ________________________

Date of receipt of goods: ________________________

Proof of purchase: ________________________

Consumer’s notice of withdrawal: I declare that I wish to withdraw from the contract which I have concluded for the purchase of the above product.

Signature of the consumer: ________