Withdrawal

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

To

Dirk Weckwert
Montura-Store in Reisefibel
Markgrafenstr. 5
04109 Leipzig
Germany

Fax: +49 (0) 341 21 58 722
E-Mail: montura@reisefibel.de

Withdrawal
Note: Delete as appropriate.
Name of consumer(s)
 
Address of consumer(s)
Your e-mail address, to immediately confirm the receipt of the withdrawal
Withdrawal date
Privacy I have read the privacy notice.
 

* required