Withdrawal form
Only complete and return this form if you wish to terminate / revoke the agreement.

To: BATAVICA - info@batavica.net (return address can be requested by sending an email)

I / We * share / share * hereby inform you that I / we * revoke / revoke our agreement regarding the sale of the following goods / provision of the following service *

Ordered on ..................... * / Received on ..................... *

Consumer name:
Consumer address:
Signature of consumer:

Date

* Strike out what does not apply.