Withdrawal

Complete and return this form only if you wish to withdraw from the contract.

To

Schornsteinfegerbekleidung
Stephan Kerkhoff
Viktor-von-Scheffel-Stra├če 18
96215 Lichtenfels
Germany

Fax: 09571/71269
E-Mail: meusel@schornsteinfegerbekleidung.de

Withdrawal
Note: Delete as appropriate.
Name of consumer(s)
 
Address of consumer(s)
Your e-mail address, to immediately confirm the receipt of the withdrawal
Withdrawal date
Privacy I have read the privacy notice.
 

* required