Model Withdrawal Form

If you wish to withdraw from the contract, you may complete and return this form to us. Use of this form is not mandatory.

To:

GP Vermögensberatung GmbH / GP AUDIO
Gerd Poskowski
Marienkäferweg 38
14532 Stahnsdorf
Germany
Email: info@gp-audio.de

I/We (*) hereby give notice that I/we (*) withdraw from my/our (*) contract for

the purchase of the following goods (*) / the provision of the following service (*):

____________________________________________________________

____________________________________________________________

Ordered on (*) / contract concluded on (*):

____________________________________________________________

Goods received on (*):

____________________________________________________________

Name of consumer(s):

____________________________________________________________

Address of consumer(s):

____________________________________________________________

____________________________________________________________

Email address (optional):

____________________________________________________________

Order, job or invoice number (if available):

____________________________________________________________

Date:

____________________________________________________________

Signature of consumer(s)
(only if this form is notified on paper):

____________________________________________________________

(*) Delete as appropriate.