To the attention of Muebles Marieta, S.L., with address in Calle Escayolistas nº1, Nave 2 - 28891, Velilla de San Antonio (Madrid), Telephones 912 974 237 / 963 111 777 and email address pedidos@mueblesmarieta.com.

I hereby communicate that I withdraw from my contract of sale of the following product or list of products:

Ordered on

Order Number*

Name of the consumer and user or consumers and users*

Consumer and user email*

Address of the consumer and user or consumers and users*

Today's Date *: