Sample declaration for withdrawal

Addressee: Jegenye Chainsaw Ltd.

(address: 1184 Budapest, Jegenye fasor 15., e-mail: jegenye@jegenye.hu)

I/we declare that I/we exercise my/our right of withdrawal/cancellation in respect of the contract for the purchase of the following product(s) or the provision of the following service:

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Date of conclusion of contract / date of receipt: …………………………………………………………

Name of the consumer(s): …………………………………………………………………………………

Address of the consumer(s): …………………………………………………………………………………

Please transfer the purchase price back to the following bank account number (please fill in if you would like us to refund the purchase price by bank transfer):
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Signature of the consumer(s): (for paper declarations only)

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