Sample withdrawal form

If you wish to withdraw from the contract, please fill out this form and send it back to us.

To:
hiBALI Jewelry and Accessories Shop
Owner: Sanja Beretta
Wölberstieg 1
20457 Hamburg
Email: join@hibali.de

I/We (*) hereby revoke the contract concluded by me/us (*) for the purchase of the
following goods (*) / the provision of the following service (*)

Ordered on (*) / received on (*)

Name of the consumer(s)

Address of the consumer(s)

Signature of the consumer(s) (only for communication on paper)

Date

(*) Delete as appropriate.