Please leave a message.

withdrawal form
If you want to cancel the contract , please fill out this form and send
 it to:


Wertstueck Flickli
Kathrin Jahnes
Wühlischstraße 28
10245 Berlin

Germany


or by email :


widerruf@wertstueck.eu



- Hereby give notice that (s) I / we
_______________________________________________________________________________
 
from my / our
________________________________________________________________________________
concluded contract for the purchase
of the following goods / provision of the following services ( *)
________________________________________________________________________________________________


- Appointed on


________________________________________________________________________________________________


get on ______________________________________________________________________________________

Name of the / consumer (s )
________________________________________________________________________________
- Address of person / consumer (s )



________________________________________________________________________________




- Signature of person / consumer (s ) (with message on paper)
- date
_______________
(*) Delete as applicable .