Annex to the Terms of Sale ThemePhil
(Complete and return this form only if you wish to withdraw from the contract.)
ThemePhil
Rector Simonsstraat 10
6174 RK Sweikhuizen, the Netherlands
E-mail: info@themephil.com
I/We* hereby give notice that I/we* withdraw from my/our* contract of sale of the following goods*:
Description of the goods (Item): ___________________________________
_______________________________________________________________________
Order number (if known): ____________________________________________
Ordered on*: ________________________________________________________
Received on*: _______________________________________________________
Name of consumer(s): ________________________________________________
Address of consumer(s): _____________________________________________
_______________________________________________________________________
E-mail address (for processing): ____________________________________
IBAN for the refund (if desired): ___________________________________
Signature of consumer(s) (only if this form is notified on paper):
_______________________________________________________________________
Date: _______________________________________________________________
* Delete as appropriate.
Note: you may withdraw from the contract within 14 days of receipt of the Item without giving any reason. You may send this form to ThemePhil by e-mail or by post; the use of this form is not obligatory — any other unequivocal statement also suffices. Then return the Item, properly packaged, within 14 days of your notification. See Article 7 of the Terms of Sale ThemePhil for the full conditions, including the careful handling of philatelic material during the cooling-off period. This form is a translation of the Dutch original; in the event of any difference in interpretation, the Dutch text shall prevail.