WITHDRAWAL / RETURN FORM

(This form will be completed and sent only if the right of withdrawal from the contract is intended to be exercised.)

To: 

Title: [ ● ] 

Address: [ ● ] 

MERSIS Number: [ ● ] 

Email address: [ ● ] 

Registered Electronic Mail (KEP) address: [ ● ] 

Phone: [ ● ] 

I declare that I am exercising my right of withdrawal from the contract related to the sale of the following goods or the provision of services with this form.

-Order date or delivery date: [ ● ]

-Goods or services subject to withdrawal: [ ● ]

-Price of the goods or services subject to withdrawal: [ ● ]

-Consumer's name and surname: [ ● ]

-Consumer's address: [ ● ]

-Consumer's signature: (Only if sent on paper) [ ● ]

-Date: [ ● ]