This is a courtesy translation. The German version is the legally binding document.

Withdraw from Contract

Use this form to exercise your right of withdrawal pursuant to § 355 BGB. You do not need to provide a reason.

Your Data

Confirm

Full Name *

Email Address *

The email address you used to register or place your order.

Contract Reference / Order Number (optional)

Please review your details below. By clicking "Confirm Withdrawal", you declare your withdrawal from the contract.

Name

Contract Reference

By confirming, you exercise your right of withdrawal. This cannot be undone. A confirmation email will be sent to your email address.

You can also send your withdrawal by email to info@provimedia.de or by post to: Provimedia GmbH, Weidenweg 12, 74321 Bietigheim-Bissingen, Germany.