Model withdrawal form (Complete and return this form only if you wish to withdraw from the contract.) To Marten & Graner Rechtsanwälte, Kurfürstendamm 92, 10709 Berlin, email: info@marten-graner.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 (*): [Service / contract identification] Ordered on (*)/received on (*): [Date] Name of consumer(s): [Name] Address of consumer(s): [Address] Signature of consumer(s) (only if this form is notified on paper): [Signature] Date: [Date] (*) Delete as appropriate.