Model form for withdrawal from a purchase
Complete and send this form only if you wish to withdraw from the contract.

To Agricultural producer Bozhidar Yanakiev Zibilyanov
98 Knyaz Boris I Street, Sofia, Bulgaria
beezimed [at] gmail [dot] com

I/We notify you that I/we withdraw from the contract for the following goods: ____________________
Order reference (if known): ____________________
Date ordered / date received: ____________________
Name of the consumer(s): ____________________
Address of the consumer(s): ____________________
Signature (only if sent on paper): ____________________
Date: ____________________

Cross out as applicable.