If you want to withdraw from the contract, please complete this form and return it to us. To VIVAMAYR Kuranstalt GmbH, Fischerndorf 222, 8992 Altaussee, Tel +43 (0) 3622 71450-720, E-Mail: shop@mayrlife.com.
I/We (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale of the following goods (*)
_______________________________________________________________________
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Ordered on (*)/received on (*) ___________________________________________
Order number: ______________________________________________________
Name of consumer(s), ___________________________________________
Address of consumer(s), ___________________________________________
Signature of consumer(s) (only if this form is notified on paper)
__________________________________________ Date _____________________
(*) Delete as appropriate!