MODEL WITHDRAWAL FORM

MODEL WITHDRAWAL FORM

(If you want to withdraw the contract, please fill out this form and send it back)

To
Scrapbook Werkstatt GbR Heidler Willi-Jamann-Str. 1
63571 Gelnhausen shop@scrapbook-werkstatt.de

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)
_________________________________ _________________________________ _________________________________

Date:________________
Signature of consumer(s):___________________________________________

(only if this form is notified on paper)

(*) Delete as appropriate