IK “Somnium”
Registration No. 53602024551
Withdrawal form
Complete and send this form only if you wish to withdraw from a distance contract you have entered into. Alternatively, you may submit an unambiguous statement in your own words or use “Withdraw from the contract” on the booking management page linked in your confirmation email.
To: IK “Somnium”, reg. no. 53602024551, Maldoņi 1, Rundāle parish, Bauska municipality, LV-3921.
Email: vita@atbalstatelpa.lv.
I hereby give notice that I withdraw from the contract for the service specified below.
First and last name:
Address:
Email for confirmation:
Booking number:
Service and booked session time:
Date of contract / payment:
Date of notice:
Signature (paper form only):
The Service Provider will acknowledge receipt of your withdrawal by email. The conditions and refund procedure are set out in section 6 of the service terms. You do not need to give a reason for withdrawing.