Ziffer

Legal

Model Withdrawal Form

This document is a draft pending review by qualified counsel and pending registration of the operating entity. It is published in this state deliberately — an unreviewed legal page marked as such is more useful than a confident-looking one that has never been checked.

This is the model form set out in Annex I(B) of Directive 2011/83/EU. Using it is optional: any unambiguous statement of your decision to withdraw is enough. See the right of withdrawal notice for the period and its effects.

Where to send it

The addressee block cannot be completed yet. The operating entity is not registered, so there is no trading name, no geographic address and no email address to print here. Both are published in the imprint before the first order can be placed, and this form is completed with them at the same time.

The form

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

To: [trader name, geographic address and email address — see the imprint]

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale
of the following goods (*) / for the provision of the following service (*):

  ......................................................................

Ordered on (*) / received on (*):   ..................................

Name of consumer(s):                ..................................

Address of consumer(s):             ..................................

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

  ......................................................................

Date:                               ..................................

(*) Delete as appropriate.

Business purchasers

The statutory right of withdrawal applies to consumers. Where you order in the course of a trade, business, craft or profession, it does not apply and this form has no effect. The terms of sale set out what does.

Last reviewed
2026-08-23
Status
draft