Standard application form for withdrawal from a distance and off-premises contract

(fill in and return this form only if you wish to withdraw from the contract)

- To: Tigukass oü
 Sütiste tee 6-24 Tallinn

- I hereby withdraw from the contract for the following item 

- Date of placing the order    / date of receipt of the item 

- Consumer name 

- Consumer address 

- Consumer signature (only if this form is submitted on paper)

- Date