(If you wish to withdraw from the contract, please fill out this form and send it back.)
To Social Surprise
Orlando Ray Lopez 22309 Hamburg info@socialsurprise.com
I/we (*) hereby revoke the contract concluded by me/us (*) with the contracting party for the purchase of the following goods (*)/the provision of the following service (*)
Ordered on (*)/received on (*)
Name of the consumer(s)
Address of the consumer(s)
Signature of the consumer(s) (only for communication on paper)
