Model withdrawal form

Complete and return this form only if you wish to withdraw from the agreement.

To:
Nuts4All
Deli Gotjé Professioneel B.V.
Asterweg 19 D1
1031 HL Amsterdam
The Netherlands
E-mail: info@nuts4all.nl

I hereby give notice that I withdraw from our agreement concerning the sale of the following goods:

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Order reference / order number: ................................................

Ordered on: ....................................................................

Received on: ..................................................................

Consumer name: ................................................................

Consumer address: ..............................................................

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Consumer e-mail address: .......................................................

Date: ..........................................................................

Consumer signature (only if this form is submitted on paper):

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