Model withdrawal form
(Complete and return this form only if you wish to withdraw from the contract.)
To Lisa Camilla La Colla, Heiligenstadter Strasse 81/87, 1190 Vienna, Austria, lisa@storytellingwithlove.com:
I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/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 _____________________________________________
(*) Delete as appropriate.