Contract withdrawal form

To: "JD Trade Solutions" SIA, Rīga, Praulienas iela 2, LV-1021, [email protected].

I hereby, [Buyer's Name, Surname], declare that I wish to withdraw from the sales contract for the following goods:

• Order Number: _________________
• Date of Order Receipt: _____20___
• Name of the Goods: ________________________________________________
• Buyer's Name and Surname: ________________________________________
• Buyer's Address: __________________________________________________
• Bank Account Number for Refund (IBAN): _______________________
• Buyer's Signature (only if the form is submitted in paper form): ___________________
• Date: _____20___