Withdrawal Form

TO

Yxaiio GmbH
Wipplingerstraße 15/5
1010 Wien
Austria

per E-Mail: yxaiio@yxaiio.com

 

- 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 (*),

 

 Order date^*/ received date^*    .............................................................

Name of the consumer            ..............................................................

Address of the consumer        ..............................................................

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

                                                 ..............................................................        

Date                                          ..............................................................   

^* Please remove if not applicable.