Model withdrawal form
(If you want to cancel the contract, please fill out this form and send it back.)
- To Vipergear, Diezestraat 5, 9406 RD, Assen, The Netherlands Telephone: +316-82285413, Email: sales@vipergear.eu
- I / we () hereby revoke the contract concluded by me / us () for the purchase of the following goods () / the provision of the following service ()
- Ordered on () / received on ()
- name of the consumer (s)
- address of the consumer (s)
- Signature of the consumer (s) (only when notified on paper)
- date
(*) Delete as appropriate.
