Cancellation Form
To:
Posthofbrug 6/8 Bus 5/148, 2600 Berchem, Belgium
E-Mail: hello@loopearplugs.com
I/We (*) hereby give notice that I/We (*) cancel 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
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