Model withdrawal form

(If you want to cancel the contract, please fill out this form and send it back.) (Plaese copy and paste)
 
 
- To:
 
Fa. Rad+Tat, Inh. Michael Schuh, Äußere Further Straße 3, 90530 Wendelstein, Tel: +49-9129-289111, Fax: +49-9129-289113, email: support@schaltauge-support.com:
 
 
- Hereby give notice that (s) I / we (*) from my / us (*) concluded contract for the purchase of the following
Goods (*) / provision of the following services (*)
 
- Appointed on (*) / received on (*)
 
- Name / consumer (s)
 
- Address of the / consumer (s)
 
- Signature of person / consumer (s) (with message on paper)
 
- date
 
 
(*) Delete as applicable.