Model withdrawal form

Please only use this form in case you wish to cancel your purchase with Reina Organics.

To:          

Reina Organics

Wayesteinsingel 151

2151KT Nieuw Vennep

the Netherlands

phone: +31611885939

email: info @ reinaorganics.com

Date:                .................. 

I hereby give notice that I withdraw from my contract of sale of the following goods:

Goods:             ………….

Ordered on:      ………….

Order number:   ………….

Name:               …..

Address:           .....

Postal code:     .....

Place:               .....

Country:            ......

E-mail:              .......

.................

(Signature)

(only if this form is notified on paper)