Complete and return this form only if you wish to withdraw from the contract
- To Affekt Digital GmbH, Ostpreußenstraße 89, c/o Hauck, Dennis, 81927 München, Germany, Email:: sservice@affekt.de
- I/We () hereby give notice that I/We () withdraw from my/ our (*)
- contract 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: