Right of Withdrawal Form – Application for Withdrawal
(only fill in and send this form, if you are willing to withdraw from the Agreement)
The Seller’s name: SIA “Konceptveikals MA:LA”
The Seller’s (legal) address: 58-1 Fr.Brīvzemnieka Street, Liepāja, LV-3401
The Seller’s (actual) address: 13 Lielā Street, Liepāja, LV-3401
The Seller’s phone number: +371 20039947
The Seller’s e-mail address: email@example.com
The Customer’s name, surname: ____________________________________
Consumer’s address: ____________________________________
Product name: ____________________________________
Purchase date of the item: ____________________________________
Date of receiving the item: ____________________________________
Proof of purchase: ____________________________________
Consumer withdrawal: I declare that I wish to withdraw from the agreement that I have entered into for the purchase of the above provided item.
Customer’s signature: ____________________
Please send filled in form of the right of withdrawal together with a copy of the proof of purchase to the legal address of SIA “Konceptveikals MA:LA”, at 58-1 Fr.Brīvzemnieka Street, Liepāja, LV-3401.
Within 14 days, please send or deliver the received product to SIA “Konceptveikals MA:LA” store on the ground floor of Shopping Centre “Kurzeme”, at 13 Lielā Street, Liepāja, LV-3401.
Information on the use of the right of withdrawal
You have the right to withdraw from this agreement within 14 days without providing any reason.
The right of withdrawal will expire 14 days after the date of signing the agreement. If the end of the term falls on an “official” holiday, the right of withdrawal shall be exercised on the working day (including) following the end of the provided period.
To exercise your right of withdrawal, you must notify us, providing a clear notice (for example, by mailing a letter or by e-mailing) at the following address – SIA “Konceptveikals MA:LA”, at 58-1 Fr.Brīvzemnieka Street, LV-3401 phone +371 20039947, firstname.lastname@example.org and by informing about your decision to withdraw from the signed agreement. You may use the template of the above provided withdrawal form, but it is not mandatory.
For the right of withdrawal period to be observed, it is sufficient that you send your notice of exercising the right of withdrawal before the right of withdrawal expiry date.
The consequences of exercising the right of withdrawal
If you withdraw from this Agreement, we will refund to you all the payments received from you, including the shipping costs (excluding additional costs incurred as a result of choosing a delivery method other than the cheapest standard delivery method we offer), without undue delay and in any event no later than 14 days from the date we were notified of your decision to withdraw from this Agreement. The refund will be implemented using the same payment method that you used for the original transaction, unless you have expressly agreed to other methods. In any case, you will not be charged for any such refund.
We may withhold a refund until we have received the items back or until you have provided proof that the goods have been returned, whichever action is executed first.
You must return the goods or hand them over to SIA “Konceptveikals MA:LA”, at 13 Lielā Street, Liepāja, LV-3401 or send them to Liepāja “Rožu laukums” DPD pickup point or Omniva parcel machine without undue delay and in any case no later than 14 days from the date you notify us of your decision to withdraw from this Agreement. The deadline will be met, if you return the goods before the 14-day deadline.
You will have to cover the direct costs of returning the goods (the maximum costs, if the goods cannot be returned by post could total to approximately EUR 10).
You are only liable for the impairment of the goods, if the goods have been used for purposes other than stating the nature, characteristics and functioning of the goods. The product must be used for testing purposes to the extent that could be executed at the store.