Model Withdrawal Form

YAYIN ÖNCESİ HUKUKİ KONTROL GEREKTİREN TASLAK / ENTWURF / DRAFT

Form

Complete and return this form only if you wish to withdraw from the contract.\n\nTo: (Company name), (Address), (Email)\nI/We (*) hereby give notice that I/we (*) withdraw from my/our (*) contract for the supply of the following service:\nService or appointment: [...]\nOrdered/contract concluded on: [...]\nName of consumer(s): [...]\nAddress of consumer(s): [...]\nDate: [...]\nSignature of consumer(s) (only if this form is notified on paper): [...]\n(*) Delete as appropriate.

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Stand / Sürüm / Version: 22.09.2026