Sample Withdrawal Form

If you wish to withdraw from the contract, please fill out this form and return it to: GEO Gallery Berlin GmbH, c/o Alisik, Ostpreußendamm 114, 12207 Berlin, Germany, Email: info@geogalleryberlin.de

I hereby withdraw from the contract I entered into for the purchase of the following item(s):

Consumer's signature (only if submitting a paper copy):