Withdrawal

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

To

Weingut-Selbach-Erz
Roland Selbach
Paulinstr. 53
54518 Kesten
Germany

E-Mail: info@weingut-selbach-erz.de

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