Withdrawal Form

Model Withdrawal Form

To:
FURZION
Email: support@furzion.com

I hereby inform you that I withdraw from my contract for the purchase of the following goods:

Order number:
Product(s):
Ordered on:
Received on:

Name of consumer:

Address of consumer:

Date:

Signature of consumer (only if this form is submitted on paper):

Important: You do not have to use this form to exercise your right of withdrawal. You may also clearly inform us in another way, for example by email.