Sample Withdrawal Form

If you wish to revoke this contract, you can fill out this form and send it back to us. The use of this form is **not mandatory**. A revocation can also be made by a clear statement via email or by other legally permissible means. --- **To:** **Eximely UG (limited liability)**
Baumgarten 11
96178 Pommersfelden
Germany **Email:** support@eximely.shop
**Phone:** +49 151 2037277 **VAT ID:** DE457058152 ---

Declaration of Revocation

I/we hereby revoke the contract concluded by me/us for the purchase of the following goods: **Ordered goods / items:** --- **Order number:** --- **Ordered on:** --- **Received on:** ---

Consumer Information

**Name:** --- **Address:** --- **Email address:** --- **Date:** --- **Signature of consumer(s)**
(required only if notification is made on paper) ---

Return

After declaring revocation, please send the goods in question promptly and no later than **14 days** to the following address: **Eximely UG (limited liability)**
Baumgarten 11
96178 Pommersfelden
Germany Please note the complete information in our **Revocation Notice**. The statutory provisions regarding the right of revocation remain fully in effect. --- **Eximely UG (limited liability)**
Baumgarten 11
96178 Pommersfelden
Germany **Management:** Zoer España Manriquez
**VAT ID:** DE457058152 **Email:** support@eximely.shop
**Phone:** +49 151 2037277
**Website:** eximely.shop **As of:** September 2026