Form for dissolution/revocation

 

Only complete this form and return it if you have

to cancel/revoke the agreement.

To:

Idee voor vakwerk.nl

Iependaal 210

3075 WR Rotterdam

Phone number: 06-29524376

Email: info@ideevoorvakwerk.nl

 

Hereby I/We (*) inform you that I/we (*)

recall/revoke (*) our agreement regarding the sale of

the following goods/delivery of the next service:

 

Ordered on Date:

Received on :

Name/Names recipient:

Address receiver:

Street name :

Postal Code :

Residence :

E-mail :

Signature of recipient: *

 

 

 

 

(* Signature only when this form is submitted on paper)

 

 

Date:

Download Revocationform