You only need this form if you want to withdraw from your contract. Using it is optional – any clear statement that you wish to withdraw is enough. The quickest way is the “Withdraw from contract here” button.
Model withdrawal form
(Complete and return this form only if you wish to withdraw from the contract. You can also use the “Withdraw from contract here” button.)
To: Custodio BV, trading as FillMaticPro, Nieuwe Kaai 7B, 2300 Turnhout, Belgium, servicedesk@fillmaticpro.com
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 (*): ____________________________
Order number: ______________________________________________
Name of consumer(s): _______________________________________
Address of consumer(s): ____________________________________
Signature of consumer(s) (only if this form is notified on paper): ____________________
Date: ____________________
(*) Delete as appropriate.
How to send it
Email the completed form to servicedesk@fillmaticpro.com, or post it to the address above. We will confirm receipt without delay.
See Returns & Right of Withdrawal for return costs and what happens next, and Your legal guarantee rights if your product is faulty.