SEISHINDO · WITHDRAWAL Withdrawal statement Online form for exercising the right to withdraw from a distance contract. Name * Email address * Order number Affected product(s) / short description * Order date (optional) Date received (optional) I declare that I withdraw from the contract identified above, or from the indicated part of it. The data provided is used only to identify, process and evidence the withdrawal and to handle the related refund or customer-support matter. Privacy notice Submit withdrawal statement