Sample withdrawal form

(If you wish to withdraw from the contract, please complete this form and return it to us).

To:

M.J. Oster GmbH
Calmonstrasse 8
56814 Bremm
Bremm, Germany
E-Mail: info@tissi.de
Phone: 02675911440

I/we (*) hereby revoke the contract concluded with me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

Ordered on (*)/ received on (*): _____________________________

Name of the consumer(s): ______________________________

Address of the consumer(s): ________________________________

_________________________________________________
Signature of the consumer(s) (only for notification on paper)

Date

___________________________________

(*) Delete as appropriate