Withdrawal

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

To

mera4you
Tanja Merk
Drosselweg 6
46562 Voerde
Germany

Fax: 02855/30 34 75
E-Mail: info@mera4you.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 I have read the privacy notice.
 

* required