Model return form
(If you want to withdraw from the contract, please fill out this form and send it back.)
Hereby give notice (s) I / We (*) withdraw from my / our (*) contract entered into for the purchase of the following goods (*) / provision of the following service (*)
Ordered on (*) / received on (*)
Name / consumer (s)
Address of / consumer (s)
Signature / consumer (s) (only for message on paper)
(*) Delete where inapplicable.