The Inner Jungle

Model withdrawal form

Annex I(B) to Directive 2011/83/EU — transposed into German law as Anlage 2 to Art. 246a § 1 Abs. 2 Satz 1 Nr. 1 EGBGB

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

To Emily Samuel, Holistic Mindset Coaching & Consulting, c/o flexdienst – #20310, Kurt-Schumacher-Straße 74, 67663 Kaiserslautern, phone: +49 15679 636335, e-mail: [email protected]

I/We ⁽¹⁾ hereby give notice that I/We ⁽¹⁾ withdraw from my/our ⁽¹⁾ contract of sale of the following goods ⁽¹⁾/for the provision of the following service ⁽¹⁾,

Ordered on ⁽¹⁾/received on ⁽¹⁾,

Name of consumer(s),

Address of consumer(s),

Signature of consumer(s) (only if this form is notified on paper),

Date

⁽¹⁾ Delete as appropriate.

You do not have to use this form

It is here because we have to make it available — not because your withdrawal depends on it. As section 6 of our terms and conditions sets out, a clear statement is enough: write to [email protected] and tell us that you are withdrawing from the contract. Please include your name and the date on which the contract was concluded, so we can find your booking.

To meet the withdrawal deadline, it is enough that you send your notification before the fourteen days are up. You do not have to give a reason.