Model withdrawal form
If you want to cancel the contract, please fill out this form and send it to:
DipthDesign
Mona Franz
Aarstr. 52a
DE-65195 Wiesbaden
E-Mail: service@dipth.de
I hereby revoke my contract for the purchase of the following goods:
_____________________________________________________
Ordered on / received on:
__________________
Name, First Name:
_____________________________________________________
Address:
_____________________________________________________
Signature (only in case of notification in paper form):
__________________
Date:
_________________
