Specimen - revocation form


If you wish to revoke the contract, please fill up this form and send it back to us.

- To Damnitz & Franz GbR, Horster Str. 72, 45897 Gelsenkirchen, Email address: info@newton-running.de


I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following products (*)/ 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 in case of a notification on paper)

Date
Please enter the word displayed in the image correctly. Captchar Image


 The fields marked in bold are the mandatory fields!
 
(*) Cross out the incorrect option.
Up