Request for withdrawal

To the attention of:

PIVIDAL CONSULTING S.L. (Boneandwhite)

To the attention of:

PIVIDAL CONSULTING S.L. (Boneandwhite)

street B, B6. Business Park Alvedro
15180 Culleredo, La Coruña

info@boneandwhite.com

I hereby inform you that I withdraw from my contract of sale of the following good purchased through the web www.boneandwhite.com

Identification of the product:

Order/Contract no:

Received on date:

Consumer ID:

Name and surname

Full postal address

Date of writing

Signature (only if this form is submitted on paper or signed on paper and sent by email)

NOTE: Please follow the instructions set out in the terms and conditions of purchase in section 10.