CONTRACT WITHDRAWAL FORM

(in accordance with Art. 50 et seq. of the Consumer Protection Act)

This form should be completed and sent only if you wish to exercise your right to withdraw from a distance contract.

To:

Trader: FORMAR EOOD

UIC: 200417394

Address: Sofia, 101 Exarch Stefan St.

E-mail: nm.lumaralight@gmail.com

Phone: +359 898 490 145

Customer Details

First and Last Name: __________________________________________

Address: __________________________________________

Phone: __________________________________________

E-mail: __________________________________________

Order Details

Order Number: __________________________________________

Order Date: __________________________________________

Product Receipt Date: __________________________________________

Product(s) for which I exercise my right of withdrawal

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Declaration

I wish to exercise my right to withdraw from the sales contract for the above-mentioned product(s).

Reason for withdrawal (optional):

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Bank account for refund (if applicable)

Account Holder: __________________________________________

IBAN: __________________________________________

Bank: __________________________________________

Date: __________________________

Signature (only if submitted on paper): __________________________

Important Information

·         The right of withdrawal can be exercised within 5 days of receiving the product.

·         The returned product must be sent without undue delay and no later than 5 days after notification of withdrawal.

·         The costs of returning the product are borne by the Customer, unless otherwise agreed.

·         The right of withdrawal does not apply to products made to individual order or personalized according to the Customer's requirements, as well as in other cases provided by law.

·         LUMARA light refunds the amounts due after receiving and inspecting the returned product in accordance with the General Terms and Conditions and applicable law.

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