Sample withdrawal form
(If you want to cancel the contract, please fill out this form and send it back.)
- To FAHRER Berlin GmbH, Roelckestraße 92, 13088 Berlin, fax number: +49 30 69 20 59 29 9, e-mail address: shop@fahrer-berlin.de :
- Herewith I/we (*) cancel the contract concluded by me/us (*) for the purchase of the following goods (*)/
the provision of the following service (*)
- Ordered on (*)/ received on (*)
- Name(s) of consumer(s)
- Address of consumer(s)
- Signature of the Consumer(s) (only if notification is made on paper)
- Date
(*) Delete as appropriate.