Model withdrawal form

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

To: DiveWithSteini, Sven Steinhardt, Hasenplatz 4, 71083 Herrenberg, Germany
Email: sven@divewithsteini.de

I/We hereby give notice that I/We withdraw from my/our contract for the provision of the following service:

____________________________________________

Ordered on / contract concluded on: ____________________

Name: _____________________________________

Address: __________________________________

Date / signature where submitted on paper: ____________________