Withdrawal

Complete and return this form only if you wish to withdraw from the contract.

To

Koleric Alexander
Alexander Koleric
Bundesstraße 21
8472 Spielfeld
Austria

E-Mail: office@koleric.com

Withdrawal
Note: Delete as appropriate.
Name of consumer(s)
 
Address of consumer(s)
Your e-mail address, to immediately confirm the receipt of the withdrawal
Withdrawal date
Privacy
 

* required