Withdrawal

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

To

eigne ® - Metall- und Holzbearbeitung - Gerd Melzer
Gerd Melzer
Karl-Stülpner-Weg 10
09430 Drebach, OT.Scharfenstein
Germany

Fax: 032129876789
E-Mail: eigne@email.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
 

* required