Cancellation form
MODEL WITHDRAWAL FORM
(If you want to withdraw from the contract, please fill out this form and send it back)
To
Magicherbs Ulrich Waehling
Hellhoern 17
25479 Ellerau
Fax: +49 4106 9639974
info@magicherbs.de
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 (*),
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Ordered on ___________________ (*)/received on _______________________(*)
Name of consumer(s) ______________________________________
Address of consumer(s)
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Signature of consumer(s) (only if this form is notified on paper) |
(*) Delete as appropriate
