DISTANCE SELLING WITHDRAWAL FORM

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

Recipient: Asianajotoimisto Niemi & Puhakka Oy
Teknobulevardi 3–5, 01530 Vantaa
toimisto@aanp.fi

Withdrawal from the assignment:

I/We (*) hereby notify that I/we (*) wish to withdraw from the contract I/we (*) have entered into concerning the provision of the following service (*): 

______________________________________________________
(Brief description, e.g. housing transaction dispute)

Date of order: ____.____.________ (Date)

Name of consumer (*) / Names of consumers (*):

______________________________________________________

Address of consumer (*) / Addresses of consumers (*):

______________________________________________________

Signature of consumer (*) / Signatures of consumers (*) (only if this form is completed on paper):

______________________________________________________

Date: ____.____.________ (Date)

(*) Delete as applicable.