Widerrufsformular
Muster-Widerrufsformular
If you wish to revoke the contract, please fill out this form and return it.
To Isabell Werth
Winterswicker Feld 4
47495 Rheinberg
Telephone 02843 - 958971
Email: contact@isabell-werth.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 (*)
Ordered on (*): / received on (*)
Name of consumer(s)
Address of consumer(s)
Signature of consumer(s) (only for paper-based notification)