MODEL WITHDRAWAL FORM

If you wish to withdraw from the contract, you may use the following model form. Use of this form is not mandatory.

TO

Imprerial Law UG (haftungsbeschränkt)
Amselweg 7
24616 Brokstedt
Germany
Email: support@imprerial-law.com

WITHDRAWAL DECLARATION

I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods:

Product(s):
________________________________________

Order number:
________________________________________

Ordered on / received on:
________________________________________

Name of consumer(s):
________________________________________

Address of consumer(s):
________________________________________

Date:
________________________________________

Signature of consumer(s):
Only required if this form is submitted on paper.