Model withdrawal form

To
Steinhartwatches
Steinhart Watches GmbH
Boschstr.6
86391Stadtbergen

by fax to: +49 (0)821 5433801
or by email to: [email protected]

I/ We* revoke the concluded me/ us contract for the purchase of the following products/ the provision of the following service*.

 


Order date*/ received date*


Name of the consumer


Address of the consumer


Signature of the consumer (only required for communication on paper)


Date

* Please remove if not applicable.