Standard Form for Withdrawal

Standard Form for Withdrawal

Complete this form and return it per email to returns @ only when you want to revoke the agreement.

I hereby inform you that I wish to revoke our agreement on the sale of the following products:




Ordered on _________________________________________________

Order number_______________________________________________

Your Name _________________________________________________

Your Address________________________________________________

Your email address ___________________________________________

Your account number for refund_________________________________

Your Signature:

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