Withdrawal Form
Complete and return this form only if you wish to withdraw from the contract.
You do not have to use this form. Where a statutory right of withdrawal applies, a clear statement sent by email may also be sufficient.
To
Tourbillon Timepieces / E-COM DA
Jonas Lies vei 1
5053 Bergen
Norway
Email: post@tourbillontimepieces.com
I/We (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale for the following goods:
____________________________________________________________
____________________________________________________________
Order number:
____________________________________________________________
Ordered on (*) / received on (*):
____________________________________________________________
Name of consumer(s):
____________________________________________________________
Address of consumer(s):
____________________________________________________________
____________________________________________________________
Signature of consumer(s) (only if this form is submitted on paper):
____________________________________________________________
Date:
____________________________________________________________
(*) Delete as appropriate.
