Nordkapstr. 4
10439 Berlin
Germany
E-Mail[email protected]- I/We* hereby give notice that I/we* withdraw from my/our* contract for provision of the following services
- Ordered on (*)/received on (*)
- Name of the customer(s)
- Address of the customer(s)
- Signature of the customer(s) (only for notice sent by mail)
- Date
(*) Please delete as applicable.