Retraction Form — Right of Withdrawal
Withdrawal Form — Right of Withdrawal (Directive 2011/83/EU)
If you wish to exercise your right to withdraw from the contract, please fill in the fields below and send it to us by email at uniquepriveportugal@gmail.com within 14 days of receiving your order.
Consumer Details
Full Name: ___________________________
Address: ___________________________
Email: ___________________________
Phone (optional): ___________________________
Order Details
Order Number: ___________________________
Date of order receipt: ___________________________
Item(s) to be returned: ___________________________
Declaration of Withdrawal
I hereby declare that I wish to exercise my right to withdraw from the sales contract for the item(s) identified above, entered into with Unique Privé.
Date: ___________________________
Signature (if sent on paper): ___________________________
Please send this completed form to uniquepriveportugal@gmail.com. You will receive a confirmation of receipt within 24 to 48 business hours.
Pursuant to Decree-Law no. 24/2014, of February 14, and Directive 2011/83/EU of the European Parliament and of the Council.