Model withdrawal form
Statutory form under the Danish Consumer Contracts Act
Use this form only if you want to withdraw from your membership agreement within the 14-day right of withdrawal (terms of sale, clause 8.4). Send it to contact@juveno.health. You can also withdraw with the "Withdraw from agreement" function on your membership page.
(complete and return this form only if you wish to withdraw from the contract)
- To JUVENO Health BV, Coolsingel 104, 3011AG Rotterdam, Netherlands, contact@juveno.health:
- 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 of consumer(s) (only if this form is notified on paper),
- Date
(*) Delete as appropriate.