Withdrawal form

Pursuant to Article 6:230o of the Dutch Civil Code, you can exercise your right of withdrawal by returning this completed form.

To:
Ripasha
Jan Wapstraat 79
2523 GC Den Haag
support@ripasha.nl

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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 submitted on paper)

Date: ___________________________

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(*) Delete where inapplicable.