MODEL WITHDRAWAL FORM
Complete this only if you wish to withdraw from your purchase.

To: GĒA House of Taste, Olga de Haasstraat 505, 1095 PG Amsterdam, Netherlands
Email: hello@geahouseoftaste.com

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

Products:
Order number (if known):
Ordered on / received on (delete as appropriate):
Name of consumer(s):
Address of consumer(s):
Date:
Signature (only for a paper form):

Delete wording that does not apply. You may instead email or post any clear statement of withdrawal.