Withdraw from contract

Standard withdrawal form (Complete and return this form only if you wish to withdraw from the contract.)

To: El Moderno Concept Store S.L., Corredera Baja de San Pablo 19, 28004, Madrid, España. Telephone number: +34 913 483 994.
E-mail: hello@elmoderno.es

I/we (*) herewith cancel my/our* contract for the purchase of the following goods (*)/the provision of the following service(*)_____________________________________________________________

ordered on (*)/received on (*):_________________________________________________________

Name of consumer(s): ________________________________________________________________

Address of consumer(s): ______________________________________________________________ 

Signature of consumer(s) (only in case of notification on paper)

Date

(*) Delete as appropriate