Complete and return this form only if you wish to withdraw from the contract or purchase
- To DUTCH-BULBS.COM, Herenweg 346, 2211 VG, Noordwijkerhout, The Netherlands Email: firstname.lastname@example.org
- I/We (*) hereby give notice that I/We (*) withdraw from my/ our (*) contract for the provision of the following service/product:
- Ordered on (*)/ received on (*):
- Name of consumer(s):
- Address of consumer(s):
- Signature of consumer(s) (only if this form is notified on paper):
(*) Delete as appropriate.