(complete and return this form only if you wish to withdraw from the contract)

To:
BORBOLETA D.O.O. ZA TRGOVINU I USLUGE - PODRUŽNICA V LJUBLJANI 
info@borboleta.co
Dunajska cesta 136,
1000 Ljubljana,
Slovenia


I _______________ hereby give notice that I withdraw from my _______________ contract of sale of the following goods:

______________________________,

ordered on _______________, received on _______________.


Name of consumer:

______________________________.

Address of consumer:

______________________________.

E-mail of consumer:

______________________________.

Signature of consumer:

______________________________(only if this form is notified on paper)

Date:

______________________________.