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(Complete this form and return it only when you want to revoke the agreement)
- To: E-njoint B.V.
2629 HH Delft
- I/We hereby inform you that I/we wish to revoke our agreement on the sale of the following products:
[specification of the product]*
- Ordered on*/received on* (dd/mm/yy)
- Order Number / Order Reference :
- [Your name]
- [Your address]
- [Your signature] (only when this form is submitted on paper)
*) Delete and/or complete where appropriate.