Return form

Model withdrawal form

(complete and return this form only if you wish to withdraw from the contract)

Download return form!

Michael Schmitt

Otto Kessler c/o MiAna GmbH&Co. KG Wilhelm-Kabus-Str. 70
10829 Berlin

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),


(*) Delete as appropriate.