WR form

(If you wish to cancel the contract, please fill out this form and return it.)

– To Disskin GmbH, Am Südend 27, 89407 Dillingen, Email address: info@disskin.com

– I/We (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/
the provision of the following service (*)

– Ordered on (*)/ received on (*)

– Name of consumer(s)
– Address of the consumer(s)
– Signature of the consumer(s) (only for notifications on paper)
- Date

(*) Delete as appropriate.