Revocation form

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

To Michelangelo Buonarroti
Predikherenstraat 17-19
8000 Brugge



inform you that I / we revoke our agreement relating to the sale of the

Order date: *
Delivery date: *
Ref. number order: *
Articles ref.: *
Name /names buyer(s): *
Adress: *
Country: *
IBAN: *
BIC:
Email: *
Date: *
I'm not a robot: *
5 + 8 =


You will receive a confirmation after receipt of this form.