Widerrufs­formular


Withdrawal form

Model withdrawal form

(If you want to cancel the contract, please fill out this form and send it back.)

To :
H&K Handel GbR
Rostocker Chaussee 46
18437 Stralsund
Germany
E-Mail info@hkhandel.de

I  / we (*) hereby revoke the contract concluded by me / us (*) 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 notification on paper)

__________________

Date

__________________
 

(*) Delete where inapplicable.