Model withdrawal form
Withdrawal form
If you would like to withdraw from the agreement you can fill out this form and return it to AISA:
AISAmerch.de
Proprietor Toralf Stertze
Alfred-Kästner-Str. 44
04275 Leipzig
Germany
Email: shop@aisamerch.de
I/we herewith withdraw from the agreement I/we have concluded to purchase the following goods
• Ordered on/received on
• Name of the consumer(s):
• Address of the consumer(s):
• Date:
• Signature of the consumer(s) (only in the case of notification on paper):