withdrawal form

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

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!

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