(only complete and return this form if you wish to withdraw from the contract)
To:
IP Cam Solutions
Saliestraat 2
2292 CR Wateringen, The Netherlands
info@ipcamsolutions.nl
I/We* hereby give notice that I/we* withdraw from my/our* contract of sale of the following goods:
Order number: ___________________________________________
Ordered on: _____________________________________________
Received on: ____________________________________________
Name of consumer(s): ____________________________________
Address of consumer(s): ________________________________
Date: ___________________________________________________
Signature (only when this form is submitted on paper):
________________________________________________________
* Delete as appropriate.