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.