Withdrawal form (sample)
If you wish to withdraw from the contract, please full out the below form and return it.
YOUR NAME
YOUR ADDRESS
Hysteria Machine LTD
10a High Street, Chislehurst, BR7 5AN
Hereby I / we ________________________________________ withdraw from the closed contract for the purchase of goods.
Quantity Article Description Article Number ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
Ordered on ____________________ or received on ______________________ Name and address of the consumer(s)
Date of the withdrawal:
Signature of the consumer(s) (only applicable for the withdrawal written on paper)
*****ITEMS NOT REFUNDABLE IF BROKEN, DAMAGED OR OUTSIDE RETURN PERIOD*****
For extrajudicial settlements of consumer disputes, the European Union has launched an online platform ("ODR platform"):
https://ec.europa.eu/consumers/odr
