Model withdrawal form

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

– To: SIA "Herkules PSI", Brīvības iela 92/94–1, Riga, LV-1001, Latvia; email: info@soiras.com

– I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*) / for the provision of the following service (*):

– Ordered on (*) / received on (*):

– Name of consumer(s):

– Address of consumer(s):

– Signature of consumer(s) (only if this form is notified on paper):

– Date:

(*) Delete as appropriate.

If you wish, also include (optional): order number · email address for the confirmation

You can send the form to info@soiras.com or by post to the address above.