Model Withdrawal Form

Model Withdrawal Form

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

To:

Christian Duda  
trading under the brand LÉVERDELLE  
Rethbrook 11  
24119 Kronshagen  
Germany  

Email: info@leverdelle.store  

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

Ordered on:  

Received on:  

Name of consumer:  

Address of consumer:  

Signature of consumer (only if this form is notified on paper):  

Date: