MODEL WITHDRAWAL FORM

To: M2 Drinks, Vlamingstraat 47, 2713 RT Zoetermeer, The Netherlands
Email: suppliers@m2mocktails.com

I/We hereby give notice that I/we withdraw from my/our contract of sale of the following goods:

Product(s):
Order number (if known):
Ordered on / received on:
Name of consumer(s):
Address of consumer(s):
Date:
Signature (only if submitted on paper):