(If you want to cancel the contract, please fill out this form submit it to us)
To roots of compassion eG, Rudolf-Diesel-Straße 37, 48157 Münster, Germany , Fax: 0251 1367889 , e -mail : email@example.com :
I hereby give notice that I / we (*) withdraw from my / our (*) concluded contract for the purchase of the following goods:
Appointed on (*) / received on (*)
Name of person / consumer (s)
Address of person / consumer (s)
Signature of / consumer (s ) (only if form is printed)
(*) Delete if applicable .