WITHDRAWAL FORM

 

 

Complete and return this form only if you wish to withdraw from the contract.

 

C R U B A GmbH

Auguststr. 28

10117 Berlin 

Telefax +49 30 260 766 79

sales@cruba-berlin.com

 

I hereby give notice that I withdraw from my contract of sale of the
following goods:

..............................................................................

.............................................................................. article name, size, price

 

 

goods ordered:

............................. date

goods received:

............................. date

 

 

name and address of the customer

............................. 

............................. 

............................. 

  

 

............................. date

……………………………………………. signature of the customer