(Only fill out and return this form if you wish to withdraw from the contract)
— To (MW munich VISUALDESIGN), telephone number: 0176 72265209, e-mail address: email@example.com
— I/we (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale for the following goods (*)/for the provision of the following services
— Ordered on (*)/received on (*)
— Name of the customer
— Address of the customer
— Signature of the customer (only if this form is sent in paper form)
(*) Delete what does not apply.