Annex to Article 2 point 7
(on Article 246a, Section 1, Paragraph 2, Clause 1, No. 1 and Section 2, Paragraph 2, No.
Template for the withdrawal form Template withdrawal form
(If you want to cancel the contract, please fill out this form and send it back.)
- To [the name, address and, if applicable, fax number and e-mail address of the entrepreneur must be inserted by the entrepreneur]:
- 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 on (*)
- Name of the consumer (s)
- Address of the consumer (s)
- Signature of the consumer (s) (only if this is notified on paper) - Date
(*) Delete where inapplicable.