MODEL WITHDRAWAL FORM

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

To:
Morhaf Kourbaj
Margarete-Walter-Strasse 2
10407 Berlin
Germany
support@botberlin.com

I/We hereby give notice that I/We withdraw from my/our contract for the following service:

Ordered on:

Name of consumer(s):

Address of consumer(s):

Date:

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