Model withdrawal form
(complete and return this form only if you wish to withdraw from the contract)
To:
Mira Atelier Kft. Kft.
1061 Budapest, Paulay Ede utca 31.
hello@ateliermira.hu
I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods / for the provision of the following service:
Ordered on / received on:
Name of consumer(s):
Address of consumer(s):
Signature of consumer(s) (only if this form is notified on paper):
Date:
Source: Annex 2 of Hungarian Government Decree 45/2014 (II. 26.)