Model withdrawal form
Complete and return this form only if you wish to withdraw from the agreement. Using it is optional — any clear statement is enough. Send it by email to [email protected] or by post.
To:
Bartosz Domański — Honeyue
ul. Panewnicka 355, unit 6, 40-773 Katowice, Poland
[email protected]
I/We(*) hereby give notice that I/we(*) withdraw from my/our(*) agreement for the provision of the following service:
Order number or Plan date
Service I am withdrawing from
Date the agreement was concluded
Full name
Address
Email
Account number for the refund (only if you paid by transfer and want the refund to a different account)
Date
Signature (paper version only)
(*) Delete as appropriate.
We will confirm receipt by email and make any refund within 14 days using the same payment method. See Right of withdrawal.