I/we hereby cancel the order I/we have placed for the purchase of the following item(s):

Name of the goods*

Ordered on

Invoice or order number*

Your name*

Your address*

Your email address*

Your phone number

Additions to the withdrawal

YES, I have read and accept the Withdrawal terms. I understand that the return postage will not be refunded and that postage paid returns will not be accepted. We recommend choosing a trackable shipping method.