Model withdrawal form

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

To: PRIMEPURE · Company: 1489399 Alberta Ltd. · 25 Linthorpe Rd, Spruce Grove AB T7X 2C3, Canada · support@primepureglobal.com

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

Ordered on [*] / received on [*]: ____________

Name of consumer(s): ____________

Address of consumer(s): ____________

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

Date: ____________

[*] Delete as appropriate.

You can also withdraw online (EU customers) at https://primepureglobal.com/a/withdrawal. See our Returns & refunds policy.