Withdrawal

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

To

Billard & Dart Andreas Kohnen
Andreas Kohnen
Lilienstrasse 34
66763 Dillingen
Germany

Fax: +49 6831 949041
E-Mail: info@bill-dart.de

Withdrawal
Note: Delete as appropriate.
Name of consumer(s)
   
Address of consumer(s)
Your e-mail address, to immediately confirm the receipt of the withdrawal
Withdrawal date
Privacy
 

* required