ANGRERETTSKJEMA (Fyll ut og returner dette skjemaet bare dersom du ønsker å gå fra avtalen.) Til: ledbyheart v/ Dionysios Antoniadis 3152 Tolvsrød, Tønsberg E-post: info@ledbyheart.no Jeg/vi (*) underretter herved om at jeg/vi (*) ønsker å gå fra min/vår (*) avtale om kjøp av følgende varer: _________________________________________________________________________ _________________________________________________________________________ Bestilt den (dato): _____________________________________________________ Mottatt den (dato): _____________________________________________________ Forbrukerens/forbrukernes navn: _________________________________________ Forbrukerens/forbrukernes adresse: ______________________________________ _________________________________________________________________________ Forbrukerens/forbrukernes underskrift (bare dersom skjemaet leveres på papir): ________________________________ Dato: ___________________________________________________________________ (*) Stryk det som ikke passer. NB: Skreddersydde og personlig tilpassede skilt er unntatt fra angreretten etter angrerettloven § 22 bokstav e. Se ledbyheart.no/angrerett. ------------------------------------------------------------------------- WITHDRAWAL FORM (English) (Complete and return this form only if you wish to withdraw from the agreement.) To: ledbyheart v/ Dionysios Antoniadis 3152 Tolvsrød, Tønsberg, Norway Email: info@ledbyheart.no I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods: _________________________________________________________________________ _________________________________________________________________________ Ordered on (date): ______________________________________________________ Received on (date): _____________________________________________________ Name of consumer(s): ____________________________________________________ Address of consumer(s): _________________________________________________ _________________________________________________________________________ Signature of consumer(s) (only if this form is submitted on paper): ______________________________ Date: ___________________________________________________________________ (*) Delete as appropriate. NB: Custom-made and personalised signs are exempt from the right of withdrawal under section 22(e) of the Norwegian Cancellation Act (angrerettloven). See ledbyheart.no/angrerett.