Model Withdrawal Form

This is the model withdrawal form set out in Annex I(B) to Directive 2011/83/EU (Annex B to the TRLGDCU), with the details of Dalvox Global Systems, S.L.U. already inserted. You may use it to exercise your right of withdrawal on the terms described in Section 5 of our Terms of Use, but its use is not obligatory.

Model withdrawal form

(complete and return this form only if you wish to withdraw from the contract)

• To Dalvox Global Systems, S.L.U., Calle Francisco Silvela 110, Planta 2, 28002 Madrid (Spain), support@dalvoxcapital.com:
• I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*),
• Ordered on (*)/received on (*),
• Name of consumer(s),
• Address of consumer(s),
• Signature of consumer(s) (only if this form is notified on paper),
• Date

(*) Delete as appropriate.