Withdrawal form

Use this form only if you are a consumer and wish to withdraw from the agreement under the Norwegian Cancellation Act. Complete and send it to us within 14 days of entering into the agreement, or send any other unambiguous statement that you are exercising your right of withdrawal.

Send the completed form to

Berigo AS
Sinsenveien 51C, 0585 Oslo, Norway
Email: post@berigo.no

Form

I/we hereby give notice that I/we wish to withdraw from my/our agreement for the purchase of the following:

• Goods/services: _______________________________________
• Ordered on: _____________ / Received on: _____________
• Name of consumer(s): _______________________________________
• Address of consumer(s): _______________________________________
• Date: _____________
• Signature of consumer(s) (only if this form is submitted on paper): _______________

You can print this page, or copy the items above into an email to post@berigo.no.