Complete and return this form only if you wish to withdraw from the contract.
Send the completed form to:
CARGOMAN ASBasaltveien 14, 1359 Eiksmarka
post@gronngledefossum.no
I/We hereby give notice that I/We withdraw from my/our contract of sale of the following: (tick as appropriate)
goods (specify on the lines below)
services (specify on the lines below)
Tick and date:
The contract was concluded on (date) (for services)
The goods were received on (date) (for goods)
Name of consumer(s):
Address of consumer(s):
Date:
Signature of consumer(s) (only if this form is notified on paper)
This form follows the official Norwegian template Q-0319B (10.2023), cf. regulation of 20 June 2014 no. 777 § 1, which implements Annex I(B) of Directive 2011/83/EU. The Norwegian version is the authoritative one.