Withdrawal
Template Withdrawal Form
(If you wish to withdraw from the agreement, please complete this form and return it to us.)
To: Krisztina Matus, Am Hopfengarten 30, 90607 Rueckersdorf
I/We (*) hereby withdraw from the agreement which I/we (*) concluded for the purchase of the following goods (*)/the provision of the following services (*):
Ordered on (*)/received on (*): Name of the consumer(s): Address of the consumer(s):
Date: ____________________
(*) Delete as applicable.
Signature of the consumer(s): _________________________________ (only for notification on paper)