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Right of Withdrawal Form

Only fill in and return this form if you wish to revoke the agreement. You can also email it to info@mizorishisha.nl.

Model withdrawal form

To: Mizori Shisha
E-mail: info@mizorishisha.nl

I/We (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale of the following goods:

  • Ordered products: __________________________________
  • Ordered on (*) / received on (*): _______________________
  • Order number: ______________________________________
  • Name of consumer(s): _______________________________
  • Address of consumer(s): ______________________________
  • Email address: _______________________________________
  • Date: ____________________________________________
  • Signature of consumer(s) (only if submitted on paper): __________________

(*) Delete as appropriate.

You can read more about your rights in our returns and withdrawal policy.