Withdrawal form
This is an English translation. If the two versions differ, the Norwegian version applies: Angreskjema.
If you want to withdraw from an agreement with us, you can use the form below. You can also call 995 60 122 or send an e-mail to [email protected].
Withdrawal form
for the purchase of goods and services that are not financial services
Complete and return this form if you wish to withdraw from the contract
Send the completed form to:
HolmestrandIT AS, Gladengveien 5F, 0661 Oslo, [email protected]
I/We hereby give notice that I/We withdraw from my/our contract for the purchase of the following: (tick as appropriate)
☐ goods (specify on the lines below)
☐ services (specify on the lines below)
______________________________________
______________________________________
Tick and enter the date:
☐ The contract was concluded on (date) ____________ (for the purchase of services)
☐ The goods were received on (date) ____________ (for the purchase of goods)
Name of consumer(s): ______________________________
Address of consumer(s): ______________________________
Date: ____________
Signature of consumer(s) (if this form is notified on paper)
______________________________