Right of Withdrawal Form

(Complete and return this form only if you wish to withdraw from the contract)

To:
WithAPast
102 East 14th Street
Hamilton, Ontario, CANADA L9A 4B5
Email: withapast@gmail.com

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*):

Description of goods
Order number
Ordered on / Received on (*)
Name of consumer(s)
Address of consumer(s)
Signature of consumer(s) (only if this form is submitted on paper)
Date

(*) Delete as appropriate.

Please send the completed form to us by email at withapast@gmail.com or by post to the address above. We will acknowledge receipt of your withdrawal without delay.

For more information about your right to withdraw, please refer to our Right of Withdrawal page.