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

 

Aan:

Nijssen
Tuin & Bulbs

Postbus 653

2100 AR Heemstede

E-mailadres: [email protected]

 

 

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

- Ordered on (*)/Received on (*)

- Name(s) of consumer(s)

- Address of consumer(s)

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

- Date

 

(*) Delete where not applicable.

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