Withdrawal form

After reading the Terms and Conditions and cancellation policy, if you want to cancel the contract, please fill in this form and send it back.

To

Institut für Angewandte Informatik e. V. | InfAI Management GmbH
Goerdelerring 9
04109 Leipzig

 

Telephon: +49 341 229037 0

Telefax: +49 341 229037 99

E-Mail: info@infai.org

 

I / we hereby revoke the contract concluded by myself / us

the purchase of the following goods / the provision of the following services:

 

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

..............................................................................
..............................................................................
(Name of the goods, order number and price, if applicable)

Goods bon:
.............................
date

 

Goods were recieved on
.............................
date


Surname and Address of the consumer
.............................
.............................
.............................
.............................
date

..................................................
Customer signature
(only with written revocation)