Sample withdrawal form

If you wish to cancel the contract, please send the following information to:

Rhomberg Schmuck GmbH, Sachsenstr. 12, 75177 Pforzheim, Germany
e-mail: info@rhomberg.de

I hereby cancel the contract concluded by me for the purchase of the following goods/the provision of the following service:

Ordered on ..........................................................

Received on ........................................................

Name and address of the consumer(s)

...................................................

...................................................

...................................................

Signature of the consumer(s) (only for notification on paper)

.................................................................

Date ....................................................