WITHDRAWAL FORM

(Fill in and send this form only if you wish to withdraw from the contract)

Addressee:
SIA Alpha AF 
Reg. No.: 40103557498
Address: Jūrkalnes iela 11, Riga, LV-1046
E-mail: [email protected]  

I/We (*) hereby inform/inform you that I/we wish to withdraw from the contract for the purchase of the following goods:

Order number: ______________________

Name of goods: ______________________

Order date: ______________________

Date of receipt of goods: ______________________

Consumer's name, surname: ______________________

Consumer's address: ______________________

Consumer's phone number: ______________________

Consumer's e-mail: ______________________

Date: ______________________

Signature (if the form is submitted on paper): ______________________


Additional information:

You may use this form, but it is not mandatory.
The withdrawal notice may also be sent in free form by e-mail to: [email protected].

The goods must be unused, undamaged and in the original packaging.
Return shipping costs are covered by the Buyer, unless stated otherwise.

The refund is made in accordance with the terms of the distance contract.