Model withdrawal form

To: School of Music V.O.F., Ondiep-Zuidzijde 6, 3551 BW Utrecht, the Netherlands, info@schoolofmusic.nl.

I hereby give notice that I withdraw from our agreement for [enrollment / prepaid credit].

Concluded on: …

Name of account holder: …

Address: …

Date: …

(Signature only if this form is on paper.)