Formular zur Widerrufsbelehrung
Model withdrawal form
According to recent right the consumer has to be informed about the withdrawal form before placing his order. Not to be confused with the withdrawal declaration and needs to be used independently of the declaration. Furhtermore the withdrawal form has to be provided to the consumer on a durable medium. It is appropriate to place this form beneath the withdrawal declaration so that the counsumer receives the withdrawal declaration and the withdrawal form in one document.
60323 Frankfurt am Main
by fax to:
or by email to: firstname.lastname@example.org
I/ We* revoke the concluded me/ us contract for the purchase of the following products/ the provision of the following service*.
Order date*/ received date*
Name of the consumer
Address of the consumer
Signature of the consumer (only required for communication on paper)
* Please remove if not applicable.