Goethe Verlag GmbH
Waldspielplatz 30
82319 Starnberg
I/We (*) hereby withdraw the contract I/we have concluded for the purchase of the following goods:
…………………………………………………………………………………(Quantity, if applicable Order No. and Price)
Ordered on ……………………………
Received on …………………………
Name of the buyer:
Address:
Email:
Date:
Signature: