Annex I: Model withdrawal form
Model withdrawal form ( Just fill in this form and return when you want to withdraw from the contract )
To: [ Name entrepreneur ] [ Geographic address operator] [ Fax entrepreneur, if available ] [Email address or electronic address of operator]
- I / We * share / share * hereby give notice that I / our * contract on the sale of the following products: [ designation product] * the supply of the following digital content [ display digital content ] * the provision of the following service: [ service designation ] * withdraw from my / *
- Ordered on * / received on * [date order with services or goods receipt at ] - [Name of consumer (s) ] - [ Address of consumer (s )]
- [Signature of consumer (s )] (only if this form is notified on paper) * Delete if not applicable or fill in as appropriate .