WITHDRAWAL FORM

 

To                : Roqu Mobilite Teknolojileri San. Ve Tic. A.Ş. ("Roqu" or "Our Company”)

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)