STANDARD CANCELLATION FORM

(this form should only be completed and returned if you wish to exercise your right of withdrawal)

Copy this text, fill it out, and send it via email to info@mebelhome.es

I hereby notify you that I wish to exercise my right of withdrawal in connection with my purchase agreement for the following goods:

Ordered on ________________ received on _________________

Name: ______________________________________

Address: ___________________________________

Order/receipt number: _____________________

Signature ___________________________________ (only if the form’s content is notified on paper)

Date: _______________