Right of Withdrawal Form

Last update: 18 October 2026

Avenue
Holder: Romeu Severim Fernandes
Tax ID: 237 229 773
Beco do Chapeludo No. 19, 9050-493 Funchal, Portugal
Email: avenida.jewelry.boutique@gmail.com

Exercise of the right of withdrawal

You should only fill in and submit this form if you wish to terminate the contract.

I, the undersigned, hereby give notice that I wish to exercise my right of withdrawal regarding the sales contract for the following product(s):

Product(s): _______________________________________________________

Order number: _________________________________________

Order date: _____________________________________________

Date of receipt of the product: ____________________________________

Consumer's name: ___________________________________________

Consumer's address: _________________________________________

Email: _____________________________________________________________

Date: ______________________________________________________________

Consumer's signature (only when presented on paper):

_____________________________________________________________________

The form can be sent by email to avenida.jewelry.boutique@gmail.com .