Right of withdrawal
Insert the right of withdrawal here.
Withdrawal form
(If you wish to cancel the contract, please fill out this form and send it back to us).
To
Max Mustermann / Muster GmbH
Musterstrasse 11
66666 Musterstadt
Fax: 000-777777
E-Mail:info@example.com
[the name, address and, if applicable, the fax number and e-mail address of the entrepreneur must be inserted here by the entrepreneur]:
I/we (*) hereby cancel 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 the consumer(s) ______________________________________
Address of the consumer(s)
_________________________________
_________________________________
_________________________________
_________ _____________________________________________________
Date Signature of the consumer(s) (only for notification on paper)
_____________________________________________________________________________________
(*) Delete as appropriate

