Winkelwagen is leeg

Withdrawal standard form

Click here to download the standard form or copy / print text below.

Standard form for withdrawal

(Complete this form and return it only when you want to revoke the agreement)

To: T. Arends

Meerpad 25

1911AV Uitgeest,

The Netherlands


I/We hereby inform you that I/we wish to revoke our agreement on the sale of the following products: [specification of the product]*
the delivery of the following digital content [specification of the digital content]*
the performance of the following service [specification of the service]*

Ordered on*/received on* [date of ordering the services or receiving products]*

[Consumer’s name]

[Consumer’s address]

[Consumer’s signature] (only when this form is submitted on paper)


*) Delete and/or complete where appropriate.



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