Withdrawal Form

Model Withdrawal Form

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

- To Dermastil Cosmetics GmbH, Theodorstr. 41P, 22761 Hamburg , Email address:  shop@dermastil-shop.de :

- I/We (*) hereby withdraw from 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 this form is submitted on paper)
- Date

(*) Delete as appropriate.