MODELLO DI RECESSO - MODEL WITHDRAWAL FORM
(If you want to withdrawl the contract, please fill out this form and send it back)
To
Horns24 Inh. Marcus Leidiger
Barbarastr. 64
50735 Köln
Telefax: +49-221-1699815
info@horns24.de
I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following
goods (*)/for the provision of the following service (*),
_______________________________________________
_______________________________________________
Ordered on ___________________ (*)/received on _______________________(*)
Name of consumer(s) ______________________________________
Address of consumer(s)
_________________________________
_________________________________
_________________________________
Date:________________
Signature of consumer(s) :___________________________________________
(only if this form is notified on paper)
(*) Delete as appropriate