Cancellation Form

- To Greenlab BV, Kleine Beer 14 2952 AS Alblasserdam The Netherlands, info@greenlabshop.co.uk,

- I / we [*] hereby give notice that I / we [*] cancel my / our [*] contract of sale of the following goods:

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- Ordered on .............................................. received on ....................................

- Name of consumer(s)..............................................

- Address of consumer(s):..............................................

- Ordernr. ............................

- Signature of consumer(s) (only if this form is notified on paper)

- Date:...................................

[*] Delete as appropriate