Withdrawal Form

Complete and return this form only if you wish to withdraw from the contract or purchase

• To DUTCH-BULBS B.V., Carolus Clusiuslaan 3d, 2215 RV, Voorhout, The Netherlands Email: info@dutch-bulbs.com
• 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):
• Date:

(*) Delete as appropriate.