OHNE E-NUMMER
KAUF AUF RECHNUNG
GRATIS VERSAND AB 60€*

Withdrawal form

If you would like to cancel the contract, fill out this form and return it to us. Alternatively, you can claim your withdrawal by any other declaration in writing (e.g. e-mail or letter) according to the cancellation policy (see provision 9 of the terms and conditions).

To
BETTEC B.V.
Nieuwe Hertogenweg 20
6291 BP Vaals
Netherlands
E-mail: info@colourfood.de
Phone: +49 8105 73609-12

I/We (*) hereby cancel the contract concluded  by me/us (*) regarding the purchase of the following products (*):

Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______
Item number:_________________________ Amount: ______

Ordered on (*)_________________ /received on (*) ______________________

Company’s/-ies’ name: ________________________________________

Company’s/-ies’ address: ______________________________________________________________

Date: _____________________

Companie’s/-ies’ signature (only for communication on paper): ___________________________

(*) Delete as applicable.

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