Sample Withdrawal Form Sample Clauses

Sample Withdrawal Form. (If you wish to withdraw from the contract, please complete this form and return it) To ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇ GmbH, ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇, ▇▇▇▇ ▇▇▇▇▇▇, Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇, Fax: +▇▇ ▇ ▇▇▇ ▇▇ ▇▇ ▇▇▇ I/We hereby withdraw from the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*) ordered on (*) / received on (*) Consumer name Consumer address Consumer signature (only required for notices provided by mail or fax) Date SPECIAL TERMS AND CONDITIONS Status: February 2025