Withdrawal form template

Address of customer(s):

I hereby cancel the contract which I have concluded with regard to the purchase of the following goods: * We hereby revoke the contract concluded by us to purchase the following goods: * I hereby revoke the contract for the provision of the following services: * We hereby revoke the contract we have concluded for the provision of the following services: *

Ordered on: * Received at: *

Name of customer(s):

Address of customer(s):

Date:

* Please choose the relevant text

Send