Withdrawal Form for Distance Purchase within the Legal Cooling-Off Period

Our Company Details

Company name:

Address:

Postal code:

City:

Telephone number:

Email address:

Website:

Chamber of Commerce number:

Explanation

As a consumer, you are generally entitled to a statutory cooling-off period of 14 calendar days for purchases made through our website. During this period, you may cancel the purchase without providing any reason. However, you must formally withdraw from the purchase agreement. You can use this form for that purpose. Please fill in your details and the order information as completely as possible below. We will only use this information to process and handle the withdrawal. Please refer to our general terms and conditions for any exceptions, the return conditions, the method of refunding any payments received from you, etc.

Your Details

Name:

Address:

Postal code:

City:

Telephone number:

Email address:

IBAN number: *

*If necessary, we will use your IBAN to refund any payments received from you, in accordance with our general terms and conditions.

Your Order Details

Order date:

Order number:

Date of receipt:

Type of product(s):

Quantity:

Brand:

Product/Model number:

Invoice amount: €

Invoice date:

Invoice number:

Date of payment:

Special notes/comments:

https://ec.europa.eu/consumers/odr