Declaration of Withdrawal

You can use this form to withdraw from your contract. Please note that your declaration of withdrawal will only be effective if you are actually entitled to a right of withdrawal.

Fields marked with * are required so that we can process your request and send you a confirmation of receipt. Terms & Conditions: Information on the right of withdrawal.

First name

Last name

Order number

Order e-mail Must match the e-mail address used to place your order.

Full withdrawalPlease return all items from this order to fully withdraw from the contract. Partial withdrawalPlease return the items you do not wish to keep to partially withdraw from the contract.

Use a different email address for the confirmation of receipt

Confirmation e-mail

I hereby withdraw from the contract specified above.