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Withdrawal form

Fill in the form if you want to notify us that you are withdrawing from the purchase agreement. Send it to post@vitalpharma.no.

To Vital Pharma AS, Jonsvannsveien 140, 7050 Trondheim, post@vitalpharma.no

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

Item(s):
Order date:
Received date:
Name:
Address:
Order number:
Date and signature (for paper forms):