Complete and send this form only if you wish to withdraw from the contract. You may also use the EU Store cancellation function or send any other clear statement by email.

To:

Japanese Melody Europe B.V.

Keizersgracht 520 H, 1017 EK 

Amsterdam

The Netherlands

Email: support@japanese-melody.com

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

Order number:

Ordered on:

Received on:

Name of consumer(s):

Address of consumer(s):

Email address used for the order:

Signature of consumer(s), only if this form is submitted on paper:

Date: