ANNEX - ONLINE WITHDRAWAL FORM
YOUR RIGHT OF WITHDRAWAL
You have the right to cancel your order within 14 days after receipt of your order without giving a reason. After this date, the withdrawal period expires.
Except if the right of withdrawal is excluded or limited in accordance with the applicable T&Cs (Article 9) you agreed, please fill-in and return this form within 14 days after receipt of your order if you wish to abdicate from the agreement.
To exercise the right of withdrawal, you must inform us
To:
VIRBAC Belgium N.V.
Esperantolaan 4, 3001 Leuven
or contact@virbac.be
of your decision to withdraw from this contract by an unequivocal statement (e.g. a letter sent by post or e-mail). You may use the attached model withdrawal form, but it is not mandatory. You can also electronically fill in and submit the model withdrawal form or any other unequivocal statement by email. If you use this option, we will communicate to you an acknowledgement of receipt of such a withdrawal on a durable medium (e.g. by email) without delay.
So, if you would like to withdraw your contract with us, please fill in this form and send it back.
I hereby notify you of my withdrawal from our concluded contract on the purchase of the following goods:
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Ordered on: __________________/ received on: __________________
Name of CLIENT: ______________________
CLIENT’s address: _______________________________.
Date:
Signature of the CLIENT