Withdrawal Form

Model Withdrawal Form

(If you wish to withdraw from the contract, please fill out this form and send it back to us.)

To:
DARK ART BY SINA
Tannenstraße 66
42283 Wuppertal, Germany

Email: sina.brooren@gmail.com

I/We (*) hereby withdraw from the contract concluded by me/us (*) for the purchase of the following goods (*):

____________________________________________________

Ordered on (*): ____________________

Received on (*): ____________________

Name of consumer(s): ____________________

Address of consumer(s): ____________________

Signature of consumer(s) (only if submitted on paper):

____________________

Date: ____________________

(*) Delete as appropriate.