Return Form

To:

Campusbuen 27a
4600 Køge
Denmark

I have read and I agreed with the Terms & Conditions of MyBookStore and I hereby declare that I wish to make the cancellation right applicable in connection with my purchase agreement for the following goods/services:

Order :______________________________________

Ordered date: ________________________________________

Received date: ________________________________________

My name: ________________________________________

My address: ________________________________________

Date & Signature: ________________________________________