Withdrawal form

(This form should be filled and returned if the return policy is applicable)



To
Cyclebrother.com
Industrivej 5, 9575 Terndrup, Denmark
Phone: +45 60 70 83 83
info@cyclebrother.com
CVR. 35252002


I hereby notify the withdrawal from the contract related to the sale of the following products/services






Ordered on the(*)/Delivery on the(*) /
Name of the client (Consumer)
Address of the client
Signature of the client (Only if this form is submitted on paper)
Date

(*) Please cross out if not applicable