Model withdrawal form
(complete and return this form only if you wish to withdraw from the contract)
— To Zohar Steg (IPRA123), Schaepmanstraat 104, 1051JG Amsterdam, hello@ipra123.com:
— I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*),
— 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.