Instructions on Withdrawal
These instructions on withdrawal inform you about your right to withdraw from a purchase within a specified period.
Model Withdrawal Form
If you wish to withdraw from the contract, please complete this form and return it to us.
Alorelia Healthcare GmbH
represented by Christian Schommer
Rehlinger Straße 20
66701 Beckingen
Germany
Fax: +49 (0) 6835 605883 – 19
E-Mail:
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 (*)
Bestellt am (*)/erhalten am (*)
Name of consumer(s)
Address of consumer(s)
Signature of consumer(s) (only if this form is notified on paper)
Date
_____________________________
Signature of the consumer
(*) Delete as appropriate.