Return form

I, the undersigned, hereby notify the withdrawal from my sales contract of the following goods:

 

 

 

 

Order n.    

 

Order date  

 

Date of receipt of goods

 

Name and surname of the customer

 

Customare adress

 

Signature of the consumer (s) (only if this form is notified on paper)

 

 

Date

  

The form must be sent in one of the following ways:

by mail ROSA SRL UNIPERSONALE  VIA CESARE PAVESE 9  43029 TRAVERSETOLO

by fax +39 0521 341336

by email info@rosashop.it