Appendix I:
Model withdrawal form
(complete and return this form only if you wish to cancel the agreement)
At:
house KOOS
T. Hermansplein 24
5144 ZE Waalwijk
hello@maisonkoos.nl
I/We* hereby inform you that I/we* revoke* our agreement regarding the sale of the following products
Product designation(s):_________________
___________________________________
___________________________________
___________________________________
Ordered on: _________________________
Order number: ______________________
Received on:_______________________