cancellation form

 

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

To: Viviane D. Nguiwouo

Solebaystraat 9-2 high
1055ZH Amsterdam
Email: contact@victorioussales.com

 

I / We * hereby inform you that I / we * are regarding our agreement
the sale of the following products: * …………………………………………………………………… ..

 

revoked / revoked *

 

Ordered on * / received on * ……………………………………………………………………………………….
Name (s) …………………………………………………………………………………………………………….
Address (s) ……………………………………………………………………………………………………………….
Consumer (s) signature] (only when this form is submitted on paper)
* Delete what does not apply or enter what applies.