Withdrawal Form

If you wish to exercise your 14-day right of withdrawal, please copy, print and complete this form and send it, together with a copy of the document confirming your order, to:

Vita Katkova
Sesku iela 11/4-60
Rīga, LV-1035
Latvia

Alternatively, you may copy and complete this form electronically and send it, signed with an electronic signature or scanned, together with a copy of the document confirming your order, to:

[email protected]

By submitting a withdrawal request, you confirm that you have read the provisions concerning the right of withdrawal set out in the Distance Contract published in the TERMS & PRIVACY section.

Application for Withdrawal from the Contract

Date: __________________

Service Provider:
Vita Katkova

Service Provider’s address:
Sesku iela 11, k-4-60, Rīga, LV-1035, Latvia

Service Provider’s telephone number:
29358036

Service Provider’s email address:
[email protected]

Buyer’s first name and surname:

Buyer’s address:

Service:

Date of conclusion of the Contract:

Documents confirming the order:

Buyer’s statement of withdrawal:
I hereby notify you that I wish to withdraw from the Contract concluded for the purchase of the Service specified above.

Buyer’s signature: