Withdrawal form

Model withdrawal form

Complete and return this form only if you wish to withdraw from the contract.

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)

Order number (if available)

Date

Signature (only for a form submitted on paper)

(*) Delete as appropriate.