Withdrawal Form

Withdrawal Form

If you wish to withdraw from the distance contract, please complete and return this form to:

I hereby give notice that I withdraw from the distance contract regarding my purchase of the following products:

*Please state the ordered goods for which you wish to exercise your right of withdrawal (e.g. Item name, brand, quantity / or »all of the items from my order number: XYZ«). 

Invoice number/ order number 

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Ordered on (*)/received on 

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Name of consumer(s) 

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Address of consumer(s) 

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Bank account details for refund (IBAN/name of bank):

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Signature of the consumer

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Date ...................................................................................................................................