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.