Model withdrawal form for printing

Model withdrawal form
(complete, print and return this form only if you wish to withdraw from the contract)


SR Sales UG (haftungsbeschränkt)
Leubinger Straße 19
99610 Sömmerda


I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*):

Ordered on (*) / received on (*):

Name of consumer(s):

Address of consumer(s):

Date, Signature of consumer(s) (only if this form is notified on paper):

(*)Delete as appropriate