Withdrawal form

Sample withdrawal form acc. Art. 246a § 1 Abs. 2 Nr. 1 and § 2 Abs. 2 Nr. 2 EGBGB Model withdrawal form

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

– To [insert the name, address and, if applicable, the telefax number and e-mail address of the entrepreneur by the trader]:
– I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods (*) / the provision of the following service (*)
– Ordered on (*) / received on (*)
– name of the consumer (s)
– Signature of the consumer (s) (only when notified on paper)
– date
————
(*) Delete as appropriate.