Dear Customer,

This form only needs to be filled in if you want to revoke the agreement.

To

Future IT bvba,
Brusselsesteenweg 386/2
3020 Herent,
Belgium.

I/We (*) hereby inform you that I/we (*) wish to revoke our agreement regarding the sales of the following goods (*)

Ordered on (*)

Ordernumber (*)

Received on (*)

Last name (*)

First name (*)

E-mail (*)

Phone number (*)

Postalcode(zip) (*)/City (*)
  

Questions and/or remarks

I am a private person and the goods are for private use