Main page » Model withdrawal form

Withdrawal

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

Masalo KG
Ulrike Röder
Lüner Weg 32a
21337 Lüneburg
Germany

Fax: +49 (0)4131 727 15 98
E-Mail: shop@masalo.eu

Withdrawal

Note: Delete as appropriate.

Order id

Ordered on

Received on

Name of consumer(s)

Salutation

Mr Miss/Ms/Mrs None

Firstname

Lastname

Address of consumer(s)

No./Street

Postcode / Town

Country

Your e-mail address, to immediately confirm the receipt of the withdrawal

Your e-mail

Withdrawal date

Privacy I have read the privacy notice.

* required

Legal