Model withdrawal form

(Complete and return this form only if you wish to withdraw from the contract. You can also simply send us an e-mail.)

To: Cache & Carrie Limited, Unit 2904-05, 29/F, Universal Trade Centre, 3 Arbuthnot Road, Central, Hong Kong
E-mail: klantenservice@elevn-jewellery.com

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

_____________________________________________

Ordered on (*) / received on (*): ____________________

Order number: ____________________

Name of consumer(s): ____________________

Address of consumer(s): ____________________

Signature of consumer(s) (only if this form is notified on paper): ____________________

Date: ____________________

(*) Delete as appropriate.