Schlussverkauf

Withdrawal

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

To

Berggefaehrten GmbH
Montura-Store by Berggefaehrten GmbH
Markgrafenstr. 5
04109 Leipzig
Germany

Fax: 004934121587122
E-Mail: montura@berggefaehrten.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