Model Cancellation Form

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

To

GetirPT, Unipessoal Lda.

Av. da Liberdade 249 1.º, 1250-143 Lisboa, Portugal

To the attention of (name of the company and address must be indicated – Getir contact details): 

I/We (*) hereby give notice that I/We (*) cancel my/our (*) contract of sale of the following goods (*)/for the supply 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