Withdrawal Form


If you want to cancel the contract, please fill out this form and send it back to us:

If you wish to do so, you have the option to download the following PDF file, fill it out and return it to us by e-mail.

Fair & Pure - SoMatEm GmbH
Zur Mühle 2
50226 Frechen

I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following services (*):


The fields marked with * are required.