(Complete this form only if you wish to withdraw from the contract and send it to us by using a contact form below). 
Please note that the right of withdrawal does not apply to products that are made to the consumer's individual specifications or are clearly personalized, in accordance with the applicable consumer protection laws.

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

Ordered on: 

Received on: 

Name of consumer(s): 

Address of consumer(s): 

Reason of withdrawal: