For the attention of:


Address: P. IND. DE LEÓN - CALLE 3, PLOT C-22, - 24231 ONZONILLA (León)

Town: ONZONILLA Telephone: 987209723

Email: [email protected]

Data of the good / service to be withdrawn:

Contract / order / invoice number: Contract / order / invoice date:

Date of receipt of the product / service: Description of the product / service:

Consumer / user data:

Name: Address: Town:

* Telephone:

* E-mail:

(* non-mandatory data)

Right of withdrawal:

You can exercise the right of withdrawal within the period of 14 days established by law from the day following the date of a service contract or the day of receipt of a product.

In accordance with article 71 of Law 3/2014, of March 28, which modifies the revised text of the General Law for the Defense of Consumers and Users and other complementary laws, I inform you that I withdraw from the contract of sale of the good / service described above within the established term, so I would be grateful if you could contact me using the contact information provided, to notify me that this request has been made.

Request date:

Consumer / User Signature: