Model withdrawal form
If you want to revoke the contract, please fill out this form and return it.
At
Born2Style
Owner Miriam Seip
Am Sande 16
21614 Buxtehude, Germany
Fax: 05136 9746614
E-mail: born2style@web.de
I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods (*) / the provision of the following service (*):
________________________________________________________________________________
________________________________________________________________________________,
ordered on (*) / received on (*) _____________________________________________________.
Name of consumer (s) _____________________________________________________
Address of the consumer (s)
______________________________________________________
______________________________________________________
_________________ _____________________________________________________
Date Signature of the consumer (s) (only for communication on paper)
(*) Cross out inapplicable.