Model Withdrawal Form

Model Withdrawal Form

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

— To
Secondhalf
Jansbuitensingel 5,
6811 AA, Arnhem,
Netherlands
info@secondhalfstore.com

— I/We (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale for the following goods/provision of the following service (*):

— Ordered on (DD-MM-YYYY): — Order number:

— Received on (DD-MM-YYYY):

— Name(s) of consumer(s):

— Address of consumer(s):

— IBAN account number:

— Signature of consumer(s) (only if this form is submitted on paper):

— Date (DD-MM-YYYY):