Model Withdrawal Form

The standard EU form for exercising your 14-day right of withdrawal. Using it is optional — any clear statement of withdrawal is valid. See our Returns & Right of Withdrawal page for the full process.

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

To:

DutchProNAS
Voorbeeldstraat 1, 1011 AB Amsterdam, Netherlands
Email: support@dutchpronas.nl

I/We* hereby give notice that I/We* withdraw from my/our* contract of sale of the following goods*/for the provision of the following service*:

Ordered on*

Received on*

Name of consumer(s)

Address of consumer(s)

Signature (only if on paper)

Date

* Delete as appropriate.