withdrawal Form

 Appendix I: Model withdrawal form

We apply a period of 14 days after receipt of the product. Then, you have 14 days to return the product.
If possible in the original packaging, in an original and undamaged as possible.

Model withdrawal form


(this form only complete and return if you wish to withdraw from the contract)

brace Advice

Kerkweg 45a

4121 KR Everdingen (Netherlands)

Email: info@braceadvies.nl


- I / We * part / parts * hereby give notice that I / our * contract on

the sale of the following products: [product description] *

the provision of the following digital content [designation digital content] *

the provision of the following service: [service designation] *

revokes / revoked *


- Ordered on * / received on * [date order with services or reception in products]


- [Name of consumer (s)]


- [Address of consumer (s)]


- [Signature of consumer (s)] (only if this form is submitted on paper)



* Delete whichever is not applicable or complete as applicable.