MODEL WITHDRAWAL FORM

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

To:
JouwPrivacy.com (Overnight Technology)
Hoofdstraat 14
4564 AP Sint Jansteen
The Netherlands
Email: hallo@jouwprivacy.com

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

  Description of the product(s) or service:
  _____________________________________________________________________

  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.