Model Withdrawal Form

Model Withdrawal Form

(Complete and return this form only if you wish to withdraw from the contract.)

To: [LEGAL SELLER NAME], [SERVICE ADDRESS], [EMAIL]

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

  • Ordered on (*) / received on (*): __________
  • Order number: __________
  • Name of consumer(s): __________
  • Address of consumer(s): __________
  • Signature of consumer(s) (only if notified on paper): __________
  • Date: __________

(*) Delete as appropriate.