Model Withdrawal Form

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

To:
Jonatan Wedde
Drammensveien 70, 0271 Oslo, Norway
jonatanwedde@gmail.com

I/we hereby give notice that I/we withdraw from my/our contract of sale of the following goods:

• Ordered on / received on: ____________________
• Order number: ____________________
• Name of consumer(s): ____________________
• Address of consumer(s): ____________________
• Signature of consumer(s) (only if this form is notified on paper): ____________
• Date: ____________________