Pursuant to article. 49, paragraph 1, letter h) Consumer Code
(complete and return this form only if you wish to withdraw from the contract)
Recipient: Tessiore & Co. S.r.l. with registered office in Genoa (ZIP Code 16121), Via XX Settembre n. 33/10, VAT no: 02649020993, registration number at the Companies Register of_____ telephone:_______________, fax: _________________________________________, e-mail: firstname.lastname@example.org , Certified e-mail________________.
– I/We (*) hereby notify/notify (*) the withdrawal from my/our (*) contract of sale of the following goods/services (*)
– Ordered on (*)/received on (*)
– Name of consumer(s)
– Address(es) of consumer(s)
– Signature of the consumer(s) (only if this form is notified on paper)
(*) Delete where not applicable.