Withdrawal form

Withdrawal form


(If you want to withdraw from the contract, please fill out this form and send it back.)

At:

Skotasmus Gothic Shop Christian Haupt
Ahauser-Str. 44
48599 Gronau

or by e-mail to: info(at)skotasmus.de

Hereby give notice (s) I / We (*) withdraw from my / our (*) contract entered into for the purchase of the following goods (*) / provision of the following service (*)

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Appointed on ___________________ (*) ​​/ received on _______________________ (*)


Name / consumer (s) ______________________________________ / order number (if available): ________________

Address of / consumer (s)

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Date Signature / consumer (s) (only for message on paper)


Underline (*) Delete