Model form for revocation
(Please complete, then print and return this form only if you wish to withdraw from the contract)

On:
Fire-Art
The Bindery 40
1321 EJ ALMERE
info@fire-art.eu

I hereby inform you that I am withdrawing from our contract for the sale of the following goods/delivery:

———————————-

Ordered at (DD-MM-YYYYY) : ——————————————–

Received on (DD-MM-YYYY): ———————————-

Name:

Address:

IBAN account number: —————————————————-

Signature: ———————————————–

Date (DD-MM-YYYY): —————————————–