Model withdrawal form

Complete and return this form only if you wish to withdraw from the contract.

To:
Nomai Amsterdam OÜ
Tartu mnt 67/1-13b
10115 Tallinn, Estonia
support@nomai-amsterdam.com

Return address: Nomai Amsterdam, George Hendrik Breitnerstraat 13, 7312 ML Apeldoorn, Netherlands.

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.