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Withdrawal form

Withdrawal form

You have fourteen days after receipt to withdraw, without giving a reason. This right does not apply to items engraved or personalised at your request.

How to proceed

Send us this form, or any other clear statement, by email to conseillers@ag-funeral.be or by post. Then return the item within fourteen days; we refund you within fourteen days of your statement.

Model withdrawal form

To A&G Funeral Group SRL, Avenue Oscar Van Goidtsnoven 6, 1180 Brussels, Belgium, conseillers@ag-funeral.be:

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

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

Order reference:

Name of consumer(s):

Address of consumer(s):

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

Date:

(*) Delete as appropriate.

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