Modelform for revoking an oder

—To
Cervus Trading
Rijksstraatweg 223
3956CN Leersum
info@cervustrading.nl
+316-19610464

— I hereby give notice that I revoke my contract for the sale of the following goods:

— Ordered on (DD-MM-YYYY) :                                  

  — Ordernumber:

—  Recieved on (DD-MM-YYYY):
 

— Name customer

— Adres customer:

— IBAN Bankaccount/paypal:

— signature of customer

— Date(DD-MM-YYYY):