en Form for revocation
Rederij De Gentenaer

Form for revocation

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

To Rederij De Gentenaer
Hoogpoort 39
9000 Gent



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

Order date: *
Delivery date: *
Ref. number order: *
ref. voucher(s): *
Name /names buyer(s): *
Adress: *
Country: *
IBAN: *
BIC:
Email: *
Date: *
ik ben geen robot:: *
4 + 8 =


You will receive a confirmation after receipt of this form.