Model Cancellation Form

 

To:

Goldfish Amsterdam B. V.

Nieuw Walden 12, 1394 PB, Nederhorst den Berg, The Netherlands

sales@goldfishamsterdam.com

I / we [*] hereby give notice that I / we [*] cancel my / our [*] contract of sale of the following goods [*] / for the supply 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

[*] Delete as appropriate