Revocation form

Attention! (only fill in and resend if you want to rescind on your purchase).

To Meta vzw
Motstraat 20
2800 Mechelen



hereby announce that I / we cancel our agreement regarding the sale of this/these

Order date: *
Delivery date: *
Ref. number order: *
Articles ref.: *
Name /names buyer(s): *
Adress: *
Country: *
IBAN: *
BIC:
Email: *
Date: *
i'm not a robot: *
8 + 5 =


You will receive a confirmation after receipt of this form.
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