Reimbursement Scheme

Model withdrawal form

 

(only complete and return this form if you wish to revoke the agreement)

- To: Wrong BV

Bernseweg 20H, 5324 JW Ammerzoden

Phone: +31 6 41401317

 

- I hereby inform you that I have canceled our agreement concerning the sale of the following products: [designation products]

recall.

 

- Received on: [date of receipt of products]

- [Consumer name]:

- [Address consumer]:

- [Signature consumer]:

 

 

Return form

 

Return address

Mywabi

Bernseweg 20H

5324 JW Ammerzoden

The Netherlands

 

 

Personal data

Name
Address
Postal code + city
WERE GOING
phone number
E-mail address

 

Order number
Products return

 

 

Reason of return(tick as applicable)

 

	Incorrect product information on the website
	Received wrong item
	Product quality deviates
Otherwise, namely