Model withdrawal form — Annex I.B
Complete and return this form only if you wish to withdraw from the contract.
To: Plugin Vantage Testing, ,, [email protected]
I/We hereby give notice that I/We withdraw from 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: ____________________
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