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Withdrawal form - Annex II

Last updated: June 12, 2026

Right of withdrawal

The right of withdrawal applies to products sold in our shop within 14 days after receiving the order, under the conditions provided by applicable law.

Withdrawal form - Annex II

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

To:
Nelson DOS SANTOS PEREIRA EI
Trading name: Nelsane Wellspring
SIRET: 10614260700014
SIREN: 106142607
E-mail: returns [at] nelsanewellspring [dot] com

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

Ordered on (*) / received on (*):

Order number:

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s) (only if this form is notified on paper): ___________________________

Date: ___________________________

(*) Delete as appropriate.

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