Model withdrawal form
Model withdrawal form
(complete and return this form only if you wish to withdraw from the contract)
Nature’s Madness
Runstraat 77
5374AB Schaijk
Netherlands
E-mail: natures.madness.info@gmail.com
I/we (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale of the following goods/for the provision of the following service (*) ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Ordered on/received on (*) __________________________________________________________________________________
Name of customer(s) ____________________________________________________________________________________________________________________________________________________________________
Adress of customer(s) ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___________ ____________________________________________________________________
Date Signature of customer(s)
(*) Cross out what does not apply.