Revocation form (when you want to return your order fill in this form)

Sent the form with the goods you want to return to the following address:
Nalanta B.V.
Kanaaldijk 93
1862 PV Bergen NH
info@nalanta.nl
T: 072-5817616
F: 072-5817618

Name customer:
Address:
Order number:
Order date:
Received on:
Reason of return:

Article(s) (strikethrough): exchange / return
In chase of exchange, witch article do you want to receive:
Name article:
Colour:
Size:
Price:

Hereby I recall mine order.

Signature: Date:

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