Withdrawal Form (Annex B of DL 24/2014)
(To be filled out and sent to cocoaconceptshop@gmail.com )
I/we: ________________________________________________
Address: ______________________________________________
CPF: ____________________
Order Number: ____________________
Order Date: ____________________
Signature (if on paper): ____________________
Date: ____________________
Last updated: May 20, 2025
I/we: ________________________________________________
Address: ______________________________________________
CPF: ____________________
Order Number: ____________________
Order Date: ____________________
Signature (if on paper): ____________________
Date: ____________________
Last updated: May 20, 2025