Instruction
Only complete and submit this form if you wish to withdraw from the contract.
Copy the lines below and email them to magazijn@dafclub.nl, or print them out and send them by letter.
At:
Stichting Onderdelenvoorziening D.C.N.
Jaap de Wit
Weikkamp 146
3751 AG in Bunschoten
I hereby inform you that I revoke our agreement regarding the sale of the following goods/delivery:
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- Ordered on* / Received on*:
* Strike out what is not applicable.
– Order number*/Invoice number*:
* Strike out what is not applicable.
– Name consumer(s):
– Address consumer(s):
- Place :
- Date :
– Signature of consumer(s):
(only if this form is submitted on paper)