withdrawal-form

To exercise your right to cancellation, you must inform us by postal dispatch or by email to :

GERMAN STIL VAPOR KG

Hr. Salvatore Amato

Pfarrer-Schwahn-Str. 16

63179 Obertshausen

Germany

E-Mail: info(at)german-stil-vapor(dot)com

I cancle the buying contract of following products:

product name:________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

order nr.:______________________________________________________________________

order date (*):_________________________________________________________________________

delivery date (*):________________________________________________________________________

Name:_____________________________________________________________________________

adress::__________________________________________________________________________

                                                __________________________________________________________________________

                                                __________________________________________________________________________

date:____________ ; signature: (only for withdrawal by paper):___________________________

 (*) delete as applicable