Model Cancellation Form

Use this form only if you wish to cancel your contract. You can copy the text below and email it to support@bellunashop.com. You do not have to use this form; any clear statement that you wish to cancel is sufficient.

To: Blue Ocean Commerce B.V., Vlierweg 12, 1032LG Amsterdam, the Netherlands
Email: support@bellunashop.com

I hereby give notice that I cancel my contract of sale for the following goods:

Product(s): ______________________________

Order number: ___________________________

Ordered on: _____________________________

Received on: ____________________________

Name of customer: _______________________

Address of customer: ____________________

Email address used for the order: _________

Signature (only if this form is submitted on paper): ____________________

Date: __________________________________

For return instructions, see our Returns & Exchanges page.