Model withdrawal form
This form may be used to withdraw from a consumer contract.
2026.1-review · 2026-07-13
To
Send the completed form to the centrally configured customer-service contact or postal address.
Statement
I/We hereby give notice that I/we withdraw from my/our contract for the sale of the following goods:
Order number:
Ordered on / received on:
Consumer name(s):
Consumer address(es):
Date:
Signature (only if submitted on paper):