Model Withdrawal Form

This page is optimised for printing. Use your browser's print function to print the form or save it as a PDF.

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

To:

Zambilo Onlinehandel - Fateme Alipoor KhomearanWeißdornweg 422393 Hamburginfo@zambilo.de

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for 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 notified on paper)
Date