Withdrawal Form

Modulo di Recesso (#6)

Pursuant to Articles 52 et seq. of the Consumer Code (Legislative Decree 206/2005), I hereby give notice of my decision to withdraw from the sales contract relating to the products listed below, purchased on www.aziendalevigne.com.

The right of withdrawal shall be deemed to have been exercised on the date and at the time this form is submitted, as indicated in the automatic confirmation email that will be sent to the email address provided.

Name

Surname

Phone

Address

Address 1

Address 2

City

Province

Postal Code

Country

Order Number

Order Date

Order Receipt Date

Products for which a withdrawal is made

Reason for withdrawal

Statement

* I confirm that I have read and understood the Cancellation and Returns Policy and that I am aware that the right of cancellation does not apply to products whose original seal has been broken after delivery (Article 59(e) of the Consumer Code).