Sample withdrawal form
Sample withdrawal form
(If you want to revoke the contract, please fill out this form and send it back)
An
Bonnibold e.U.
z.H. Ayse Cetin,
Spechtgasse 59/3, 2340 Modling, Austria
E-Mail: info@bonnibold.com
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 at (*)_____________________
Name of consumer(s)________________________________
Address of consumer(s)
________________________________
________________________________
________________________________
Datum_________________
Signature of consumer(s) (only if notification is on paper)
___________________________
(*) Delete where not applicable.