Withdrawal form

Withdrawal Form

If you wish to withdraw from the contract, please send me the following info as an email to jellevangosliga@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 consumer(s): ___________________________

Address of consumer(s): ___________________________

Signature of consumer(s)  ___________________________

Date: ___________________________

(*) Delete as applicable.