Fortrydelsesformular

Til:

Octopusdenmark.com

Amager Strandvej 100, 5th

2300 København S

Danmark

info@octopusdenmark.com

Jeg meddeler herved, at jeg ønsker at gøre fortrydelsesretten gældende i forbindelse med min købsaftale om følgende varer/tjenesteydelser:

__________________________________________________________________________________

Bestilt den: _______________________________     Modtaget den: _______________________________

Forbrugerens navn: ______________________________________________________________________

Forbrugerens adresse:  ___________________________________________________________________

Forbrugerens underskrift: _________________________________________      Dato: _________________

I wish to make use of the right to cancel in a purchase agreement concerning the following goods/services:

__________________________________________________________________________________

Ordered, date: _______________________________     Received, date: _______________________________

Consumer’s name: ______________________________________________________________________

Consumer’s address:  ___________________________________________________________________

Consumer’s signature: _________________________________________      Date: _________________

(only if the content of the form is given on paper)