Withdrawal Form

Recipient:

Loft Health & Beauty

2a Mill Square, Raceview Mill

Broughshane BT42 4JJ

loft-beauty@outlook.com

I, [your name], hereby inform you of my withdrawal from the contract for the purchase of the following goods: [list products].

Date of order: [date], date of receipt: [date].

Please refund the amount to: [bank account number].

Date: [date]

Signature: [only if sent in paper form]