Withdrawal Form
Withdrawal Form
If you wish to withdraw from the contract, please complete this form and send it to us via email.
To:
Elitai Commerce LTD
2 Volfson Street, Tel Aviv, 6609016, Israel
Email: info@elitai.store
I hereby withdraw from the contract concluded for the purchase of the following goods:
- Order number: ____________________________
- Ordered on (date): ________________________
- Received on (date): _______________________
- Name of the customer: _____________________
- Address of the customer: _________________
Reason for withdrawal (optional):
_________________________________________________________
Date: _____________________
Signature (only if submitted in printed form): _____________________
