Withdrawal form

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.