Standard form for withdraw from the contract

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

– To (merchant’s name, geographic address and, where applicable, fax number and email address to be filled in by merchant):



– I/we hereby notify* that I/we renounce* the contract concluded by me/us* for the purchase of the following goods*/for the provision of the following service*



– Ordered on*/Received on*


– Name of the user(s).




– Address of the user/s




– Signature of the user(s) (only if this form is on paper)




– Date








*Unnecessary is crossed out.