Withdrawal Form

Withdrawal FormDetlef Overbeek2022-08-31T13:48:51+02:00

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

To Blaise Pascal Magazine

Email Address: office@blaisepascal.eu

We* hereby give notice of our agreement concerning the sale of the following products: [product description]* revocation/revocation*

- Ordered on*/received on* [date of order in case of services or receipt in case of products]

Your Name *

First

Last

Email *

- Address of consumer(s):

Consumer(s)' signature (only if this form is submitted on paper)