For: S.C. TUCANO COFFEE ROASTERY S.R.L.

S.C. TUCANO COFFEE ROASTERY S.R.L., a company incorporated and functioning according to the Romanian legislation, registered with the trade register number J22/211/2019, CUI – 39955062, having the registered office located in Bucharest, Sector 5, Calea Rahovei Street, no. 240, Corp B, floor 1, rooms 11-17

I hereby inform you of my withdrawal from the Contract regarding the sale of the following

 

Goods:……………………………………………………………………………………………

…………………………………………………….………………………………………………

………………………………………………………………………………………………………

……..………………………………………………………………………………………………

Order date ………………………………. / delivery date……………………………………..

 

Consumer name:………………………………………………………………………………….

………………………………………………………………………………………………………

Consumer address :…………………………..…………………………………………………..

………………………………………………………………………………………………………

………………………………………………………………………………………………………

The account in which I want to return the value of the purchase: ………………………….

………………………………………………………………………………………………………

Bank: ……………………………………………………………………………………………

 

Consumer signature (only if this form is sent to the Seller on paper):

Data: