Formular zur Widerrufsbelehrung

Withdrawal form

(If you want to cancel the contract, please fill out this form and send it back.)

To
Missy-X
K-meral GmbH & Co. KG
Sachsenweg 9
Hambau / Öko-Zentrum NRW / Hall 4
59073 Hamm

FAX: 02381/9059310
E-Mail: info@missy-x.de

*Hereby I/we revoke(s) the concluded contract by me/us for the purchase of the following goods:

Ordered on / received on

Consumer name:

Consumers adress:

Customer signature (if sent on paper)

Date