Model Withdrawal Form
If you wish to withdraw from the contract, please fill out this form and send it back.
To:
TechFix - Serhii Yahupets
Scharnhorststraße 1
09130 Chemnitz
techfixchemnitz@gmail.com
I/we hereby give notice that I/we withdraw from the contract concluded by me/us for the provision of the following service (repair order):
- Ordered on / order placed on:
- Name of consumer(s):
- Address of consumer(s):
- Signature of consumer(s) (only if this form is submitted on paper):
- Date:
A signature is only required when this form is submitted by post.