Information on exercising the right of withdrawal

(only complete and return this form when you wish to withdraw from the agreement)

-      To:            Stichting Kröller-Müller Museum;

                        attn : Kröller-Müller Museum Shop

                        Houtkampweg 6, 6731 AW OTTERLO, The Netherlands;

                        Telephone number: +31 (0) 318 591 241

                        E-mail: [email protected]

• I hereby inform you of my decision to withdraw from our agreement with respect to the sale of the following products:

______________________________________________________________ [*product name]

• received on: __________________________________________ [* date of receipt of the product]

• [Name of consumer *]: ______________________________________________________________

• [Address of consumer *]: ______________________________________________________________

• [Signature of consumer *] (only when submitting this form on paper):

______________________________________________________________________________

* Strike through or complete as applicable.