Form dissolution / revocation
Form for dissolution / revocation
Only complete this form and return it if you want to cancel / revoke the agreement.
To: Belleza Fashion Boutique (hereinafter referred to as "Belleza"), Pauwenkamp 323, 3607TB Maarssen
I / We (*) share / share (*) hereby inform you that I / we (*) revoke / revoke our agreement regarding the sale of the following goods / delivery of the next service (*) (*)
- Reason return:
- Order number (s):
- Ordered on (*) / Received on (*):
- Name / names consumer (s):
- Address consumer (s):
Signature of consumer (s)
[only when this form is submitted on paper]
(*) Strike out what does not apply.