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 Ulrike Dold, Holderäckerstr.12
70839 Gerlingen 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