Contactform

Model withdrawal form

Complete and submit this form only if you wish to withdraw from the contract.

Mandatory fields are marked with an asterisk (*).

To ORION Versand GmbH & Co. KG, Schäferweg 14, 24941 Flensburg, Germany, Fax 0461 – 50 40 120, email: service@orion.de

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.

Goods / service

goods / service *

ordered on / received on *

Consumer information

first name *

last name *

street and number *

zip code *

city *

country *

E-Mail *