Online withdrawal declaration for E-Chrono consumers Please complete and send this form only if you wish to withdraw your order. I hereby notify you of my withdrawal decision my order for the following transport service: Date of the order Ordered on Order number Name of the consumer Complete address of the consumer Phone number of the consumer E-mail address of the consumer Date Validation of this declaration serves as a signature. *Fields marked with an asterisk (*) are required. Leave this field blank
