Model withdrawal form
This is a courtesy translation. The Dutch version of this page is legally binding.
(Only complete this form if you wish to withdraw from your order.) You have 14 days from receipt to do so; see also Right of withdrawal & returns.
Prefer email? That works too — email your withdrawal to info@gravyn.nl with your order number and the products concerned. Using this form is not mandatory.
Print the form
Would you like a paper version? Print the model form below, fill it in and include it with your return.
(Only complete and return this form if you wish to withdraw from the contract.)
To: Gravyn, Prins Hendrikstraat 11, 7443 ZM Nijverdal, Netherlands — info@gravyn.nl
I/We (*) hereby give notice that I/We (*) withdraw from the contract concerning the sale of the following products (*):
- Ordered on (*) / received on (*): __________________
- Order number: __________________
- Product(s): __________________
- Name of consumer(s): __________________
- Address of consumer(s): __________________
- Signature of consumer(s) (only for a paper form): __________________
- Date: __________________
(*) Delete as appropriate.
Return address:
Gravyn
Prins Hendrikstraat 11
7443 ZM Nijverdal
Netherlands