Model withdrawal form


 MODELFORMULIER VOOR HERROEPING

 

(Dit formulier alleen invullen en terugzenden als u de overeenkomst wilt herroepen)

— Aan Sitwear BVBA, Victor Driessenstraat 23, 2018 Antwerpen, België, info@makt.be

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— Ik/Wij (*) deel/delen (*) u hierbij mede dat ik/wij (*) onze overeenkomst betreffende de verkoop van de volgende goederen (*)/levering van de volgende dienst (*) herroep/herroepen (*)

……………………………………………………………………………………………………………………………………………………………..

— Besteld op (*)/Ontvangen op (*)………………………………………………………………………………………………………

— Naam /Namen consument(en) …………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………..

— Adres consument(en) ………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………..

— Datum …………………………………………………………………………………………………

— Handtekening van consument(en)

*Schrappen wat niet past.

 

 

MODELE DE FORMULAIRE DE RETRACTATION

 

(Veuillez compléter et renvoyer le présent formulaire uniquement si vous souhaitez vous ré-tracter du contrat)

 

— A l'attention de Sitwear SPRL, Victor Driessenstraat 23, 2018 Antwerpen, België, info@makt.be –

— Je/Nous (*) vous notifie/notifions (*) par la présente ma/notre (*) rétractation du contrat portant sur la vente du bien (*)/pour la prestation de service (*) ci-dessous ……………………………………………………………………………………………………………………………………………………………..

 

— Commandé le (*)/reçu le (*)……………………………………………………………………………………………………………………………………………………………..

 

— Nom du (des) consommateur(s) ……………………………………………………………………………………………………………………………………………………………..

 

—Adresse du (des) consommateur(s) ……………………………………………………………………………………………………………………………………………………………..

 

 —Signature du (des) consommateur(s)

— Date

(*) Biffez la mention inutile.

 

 

Model withdrawal form

 

(Form to fill out and send back only if you want to withdraw the agreement)

 

—To: Sitwear BVBA, Victor Driessenstraat 23, 2018 Antwerpen, België, info@makt.be

 

  • 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),

……………………………………………………………………………………………………………………………………………………………..

—Date.

—Signature of consumer(s) (only if this form is notified on paper),

 

*Delete as appropriate.