Model Withdrawal Form

To: AE Style
Ramovietės k. 2, Ramovietės k., Vilkaviškio r., Lithuania
Email: info@aestyle.eu

I hereby give notice that I withdraw from my contract of sale for the following goods:

Order number: ______________________

Product(s): ______________________

Date ordered: ______________________

Date received: ______________________

Customer name: ______________________

Customer address: ______________________

Customer email: ______________________

Date: ______________________

Signature: ______________________

(Only required if this form is submitted on paper.)