Withdrawal form

If you want to cancel the contract, please fill out this form and send it back to

Stefan Enßle
Holistic orthopedics
Kapfstrasse 6th

72172 Sulz aN
Email: info@mypodo.de
Phone: 07454 8707850

I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods (*) / the provision of the following service (*)

Order on (*) / received on (*)

__________________________________

Name of the consumer (s)

__________________________________

Address of the consumer (s)

__________________________________

Signature of the consumer (s)

__________________________________

Date: