Model form for right of withdrawal

Appendix I: Model form for right of withdrawal

(this form should only be completed and returned if you want to withdraw from the contract)

- To:
Importeria B.V.
Keulsepoort 2 - Unit 280
5911 BZ Venlo
The Netherlands
order@importeria.nl

- I/we* herewith inform you that, in respect of our contract regarding
The sale of the following products: [description of the product}*
The delivery of the following digital content: [description of the digital content]*
The supply of the following service: [description of the service]*
I/we* exercise our right of withdrawal.
- Ordered on*/received on* [date of ordering services or receiving goods]
- [Consumer(s)’ name]
- [Consumer(s)’ address]
- [Consumer(s)’ signature] (only if this form is submitted on paper)
- [Date]

*Delete or provide supplementary information, as applicable.

Return instructions

The designated return receiving address is Importeria B.V., Keulsepoort 2 - Unit 280, 5911 BZ Venlo, The Netherlands. Importeria sends specific return instructions by email. Those instructions must not delay or prevent your statutory withdrawal rights or return deadline.