(Only complete and return this form when you want to cancel the agreement. Download here a PDF file)
To:
Dutch Accent
Berenstraat 41
1016 GG, Amsterdam, NL
info@dutch-accent.nl
+31 20 420 21 20
— I / We (*) hereby inform you that I / We (*) revoke our agreement relating to the sale of the following goods / provision of the following service:
______________________________________________________________
— Date of purchase (DD-MM-YYYY) : — Ordernumber:
____________________________ _______________________
— Delivered on (DD-MM-YYYY):
____________________________
— Name/Names consumer(s):
______________________________________________________________
— Address consumer(s):
____________________________
____________________________
____________________________
— IBAN Bankaccount number:
____________________________
— Signature of the consumer(s) (only if this form be submitted in paper)
______________________________________________________________
— Date (DD-MM-YYYY):
_____________________________
(*) Delete what is not applicable.
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