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)