Withdrawal form

Standard form under the Norwegian Right of Withdrawal Act (form A). Complete and send this form only if you wish to withdraw from the agreement. Can be printed or sent by e-mail.

To: EVVA AUTO AS, Roald Amundsens vei 148, 1658 Torp, Norway · E-mail: webshop@evvaauto.no

I/we hereby give notice that I/we withdraw from my/our contract of sale of the following goods:

Goods / tyres (brand, model, dimension, quantity): ______________________________________________

Order number: ______________________

Ordered on: ____ / ____ / ________    Received on: ____ / ____ / ________

Name of consumer(s): __________________________________________

Address of consumer(s): __________________________________________

E-mail / telephone: __________________________________________

Date: ____ / ____ / ________    Signature of consumer(s) (only if this form is sent on paper): ______________________

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The withdrawal period is 14 days from the day you received the goods. Return the goods within 14 days after sending this form. See Returns and right of withdrawal.