General Sale Conditions – Return Form
Galleria la Soglia Meridiani
Via Luigi Mazzolani 9
48015 Cervia (RA), Italy
or
Galleria la Soglia Meridiani
Via E-mail at the following address:
studio@studiomeridiani.it
(Place and date)
Subject: order cancellation
I, the undersigned (name + surname) __________________________________________________________________________________________________
residing in (city / town) _________________________________________________________________________________________________
at (street / square) __________________________________________________________________________________________________
no _________
(Please provide the name and address of the individual who made the online purchase with Galleria La Soglia Meridiani), hereby express my intention, pursuant to Art. 52 and following of Legislative Decree no. 206/2005 and subsequent amendments, to exercise my right to cancel:
TOTAL AMOUNT:
with regard to Purchase Order no.______________________
on (date) __________________________________________________________________________________________________
SENT BY GALLERIA LA SOGLIA MERIDIANI TO THE FOLLOWING
address: __________________________________________________________________________________________________
on (date) __________________________________________________________________________________________________
I hereby declare that I have read all of the provisions of Art. 1 – 2 – 2.1 – 2.2 – 2.3 – 3 – 3.1 – 3.2 – 4 of the Galleria la Soglia Meridiani General Sale Conditions, and as set out in the Order Confirmation sent to me by Galleria la Soglia Meridiani
Faithfully,
(Full signature of the declarant)