Model withdrawal form

 Model withdrawal form

(please fill in this form and return it only if you wish to withdraw from the contract)

At: Mazari
Postbus Rotterdam
info@Mazari.nl

I/We* hereby inform you that I/We* have cancelled our agreement on
the sale of the following products: [product designation]*
the supply of the following digital content: [digital content designation]*
the provision of the following service: [service designation]*,

revok/revok

Ordered on*/received on* [date of order for services or receipt for products]
[Name of consumer(s)]
[Address of consumer(s)]
[Signature of consumer(s)]

(only if this form is submitted on paper)