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): _____________________