RETURN FORM

 

 

If you want to revoke the contract, please fill out this form and send it back to:

 

Firepit-online.com
J.F. Vlekkeweg 12
5026 RJ Tilburg
The Netherlands

E-Mail: info@firepit-online.com

 

We hereby revoke the contract concluded by me / us * for the purchase of the following goods * / the provision of the following service *

 

_____________________________________________________________________________________________________________________

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Ordered on * / received on *:  _____________________________________________________________________________________________

Ordernumber:__________________________________________________________________________________________________________

Name of the consumer (s): ________________________________________________________________________________________________

Address of the consumer (s): ______________________________________________________________________________________________

 

 

___________________________________________________________________

                                      
                                                  (Signature of the consumer (s)

 

 

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                                                               (Date)

 

 

* strike if not applicable