Model withdrawal form

Model withdrawal form

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

To:
ILA Uhren GmbH
Otto-Hue-Strasse 42A
45772 Marl (Germany)
Email: shop@heinrichssohn.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 if this form is notified on paper),

__________________________________________________________________________

Date

____________________

(*) Delete as appropriate.