Returns

RETURNS

RETURNS FORM:

Returns Form (only fill in and return this form if you wish to revoke the agreement)

- On: [ name ]
[ physical address]
[ fax number, if available]
[ e-mail address]

- I/We* hereby inform you that I/We* have signed our agreement concerning

the sale of the following products: product name]*

the supply of the following digital content: [digital content designation]*.

the provision of the following service: [name of service]*,

Revoked/Returned*

- Ordered on*/received on* [date of order for services or receipt for products].

- [Name of consumer(s)]

- [Address of consumer(s)]

- Signature of consumer(s)] (only if this form is submitted on paper)

* Delete as appropriate or fill in as appropriate.