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Model Withdrawal Form

Using this form is optional: any unequivocal statement works — see the withdrawal notice. Download the form as a text file, or print this page.

Model withdrawal form

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

  • To:
    Stega Distributions UG (haftungsbeschränkt)
    Berliner Straße 143
    10715 Berlin
    Germany
    Email: [email protected]
  • 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),
  • Signature of consumer(s) (only if this form is notified on paper),
  • Date

(*) Delete as appropriate.