REDEFINE YOUR MOVE!
REDEFINE YOUR MOVE!
REDEFINE YOUR MOVE!

WITHDRAWAL FORM 

 

To : Roqu Mobility Technologies Industry and Trade Corporation 

Address :……….. 

Phone  

Number :……….. 

Email :……….. 

 

 

I hereby declare that I am exercising my right of withdrawal from the contract for the sale of the following goods or the provision of services with this form. 

 

Order Date or Delivery Date 

 

Goods or Services Subject to Right of Withdrawal 

 

Price of Goods or Services Subject to Right of Withdrawal 

 

Consumer's Name and Surname 

 

Consumer's Address 

 

Date 

 

Signature (in case of physical document submission)