Application for refusal

Opt-out form

Date: _______________

Seller's name: URBAN OUTDOOR, Limited Liability Company

Seller's (actual) address: Riga, K.Barona iela 7-9, LV-1050

Seller's phone number: +371 22314969

Seller's e-mail address: info@urbanoutdoor.lv

Name, surname of the consumer: ________________________________________

Consumer address: ________________________________________

Product Name: ____________________________________

Date of product purchase: ________________________________________

Date of receipt of the product: ________________________________________

Proof of purchase: ________________________________________

Consumer notice of withdrawal: I hereby declare that I wish to withdraw from the contract I have entered into for the purchase of the above item.

Signature of the consumer: ____________________

Please send a completed right of refusal form together with a copy of the document confirming the purchase to info@urbanoutdoor.lv

Please send or deliver the received product to the URBAN OUTDOOR sales point in the store Riga, K.Barona iela 7-9, LV-1050 within 14 days.

Complete and send this form only if you wish to withdraw from the contract.