Use this model only if you wish to withdraw from a distance purchase contract. Use of the form is optional: another unequivocal statement is also valid.
Model withdrawal form
To: MotoXtreme, Lda., Travessa Monte da Bela, n.º 125, 4445-294 Ermesinde-Valongo, Portugal · geral@motoxtreme.pt
I hereby give notice that I withdraw from the contract of sale for the following goods:
________________________________________________________________
Order number: ________________________________
Ordered on / received on: ________________________
Consumer’s name: _________________________________
Consumer’s address: _______________________________
Date: ____________________
Signature: ____________________ (only if sent on paper)
Send the notice within the applicable period and keep proof of dispatch. See the Shipping, returns and warranty page for conditions and steps.