Withdrawal Form

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: