Withdrawal

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

To

Weinhaus Egelhoff
Gerald Egelhoff
Untergasse 29
55234 Hillesheim
Germany

Fax: 06733 2039906
E-Mail: egelhoffs@icloud.com

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
 

* required