Withdrawal from contract form

To
your-homestyle.de
your-homestyle.de
Schulte-Mönting-Str. 3
33378 Rheda-Wiedenbrück

by fax to: (0 52 42) 57 73 16
or by e-mail to: infonospamplease@nospampleaseyour-homestyle.de

Herewith I/we^* withdraw from my/our^* legal contract regarding the purchase of the following goods^* / the provision of the following services^*

Ordered on^*/ received on^*

Customer(s) name(s):

Customer(s) address(es):

Customer(s) signature(s)
(only applicable if submitted on paper)

Date

^* delete if not applicable..