Model Withdrawal Form

(Complete and return this form only if you wish to withdraw from the contract.)

To:
Clevver GmbH
Unter den Linden 24
10117 Berlin
Germany
Email: [email protected]

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract for the provision of the following service (*):

Ordered on (*): __________________________
Name of consumer(s): __________________________
Address of consumer(s): __________________________
Signature of consumer(s) (only if this form is notified on paper): __________________________
Date: __________________________

(*) Delete as appropriate.

You can print this form, fill it in, and send it by post or email to [email protected]. For more information about your right of withdrawal, see our Terms & Conditions.