You can use the withdrawal form also download.

Annex I: Model withdrawal form

Model withdrawal form
(complete and return this form only if you wish to withdraw from the contract)

• To: [ name of entrepreneur]
  [ geographic address entrepreneur]
  [ fax number entrepreneur, if available]
  [ e-mail address or electronic address of entrepreneur]
• I/We* hereby inform you, that I/We* have signed our agreement regarding
  the sale of the following products: [product designation]*
  the provision of the following digital content: [digital content designation]*
  the provision of the following service: [service designation]*,
  revoked/revoked*
• Ordered on*/received on* [date of order for services or receipt for products]
• [Name of consumer(s)]
• [Consumer(s) address]
• [Signature of consumer(s)] (only if this form is submitted on paper)

* Delete what does not apply or fill in what is applicable.