Instructions on Withdrawal for Consumers

For the purposes of these Instructions on Withdrawal, “Consumer” means any natural person who enters into a legal transaction for purposes which are predominantly outside his or her trade, business or profession.

Model Withdrawal Form

(If you wish to withdraw the contract, please complete and return this form).

To

Michael Herold, Hans-Böhm-Str. 9, 97264 Helmstadt, Germany, E-mail-address: info@herold.coach, phone: 0163 4376 536

I/we (*) hereby revoke the contract concluded by me/us (*) concerning the

purchase of the following goods (*)/provision of the following service (*)

______________________________________________________

______________________________________________________

Ordered on (*) ____________ / received on (*) _________________

_______________________________________________________

Name of the consumer(s)

_______________________________________________________

Address of consumer(s)

_______________________________________________________

Signature of the consumer(s) (only in case of paper communication)

_________________________

Date

(*) Delete where inapplicable