Withdrawal form

Withdrawal form:

To Abbey Sint-Sixtus
Donkerstraat 12
8640 Westvleteren
Belgium
E-mail: herroeping@sintsixtus.be

I hereby give notice that I withdraw from our contract of sale of the following goods:

Ordered on:
Order Number:
Picked up on:
Name of the consumer:
Client’s number:
Address consumer:
Date
Consumer signature
(only when this form is submitted on paper):

Download withdrawal form