Model withdrawal form
(complete and return this form only if you wish to withdraw from the contract)
- To:
Brückenstrasse 66
D-14913 Jüterbog
- I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*)
- Ordered on (*)/received on (*)
- Name of consumer(s)
- Address of consumer(s)
- Signature of consumer(s) (only if this form is notified on paper)
- Date
___________
(*) Delete as appropriate.