Legal

Model withdrawal form

Only complete and return this form if you wish to withdraw from the agreement.

To:

INFINIVERSE
Haasdonksesteenweg 26B
9140 Temse
Belgium
Email: info@infiniverse.be

I hereby give notice that I withdraw from my agreement for the provision of the following service:

Service:

Ordered / agreement concluded on:

Name of consumer:

Address of consumer:

Date:

Signature of consumer:

(only if this form is submitted on paper)

You are not obliged to use this form. You can also inform INFINIVERSE of your decision to withdraw from the agreement through any other unambiguous statement, for example by email to info@infiniverse.be.

Please note: under the applicable statutory conditions, the right of withdrawal may lapse once a service has been fully performed within the withdrawal period at your express request.