withdrawal form

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

On
Sievers & Partners
Erfurter Strasse 10, 96450 Coburg
Germany Bavaria)
Email: info@sieversmedien.com

• 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 consumer(s)
• Address of consumer(s)
• Signature of consumer(s) (only if notification is on paper)
• date

(*) Delete where not applicable.

You can also use ours Use the revocation template to fill out (PDF). Simply download, fill out and send!

Your SIEVERSMEDIEN editorial team