Withdrawal Form

(If you wish to withdraw from the contract, please complete this form and return it to us.)

To:
Olanutri Vitalis
Ireneweg 5
2665AN Bleiswijk
Netherlands
Email: info@olanutrivitalis.com

I/We () hereby give notice that I/we () withdraw from my/our (*) contract of sale of the following goods:

Ordered on () / received on ():

Name of consumer(s):

Address of consumer(s):

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

Date:

(*) Delete as appropriate.