Withdrawal form

Revocation form - template to revoke within 14 days

Dorothy Roffat Cosmetics GmbH
GALARIA Karstadt
Prager Straße 12
01069 Dresden
E-Mail: mail@dorothyroffat.com

Hereby I / we * revoke the contract concluded by me / us * for the purchase of the following goods * / the provision of the following service *

Ordered on * / received on *

Name of the consumer (s)

Address of the consumer (s)

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

date

(*) Delete where inapplicable.