Withdrawal

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

To

Folicon GmbH
Ralph Wostel
Tulpenstraße 15
78187 Geisingen
Germany

Fax: +49 (0) 7704 35 80 099
E-Mail: ralph.wostel@folicon.de

Withdrawal
e.g. order number, product name or order date
Name of consumer(s)
Electronic means of communication for us to send you the acknowledgement of receipt of your withdrawal
Privacy I have read the privacy notice.
 

* required