Cancellation form
Specimen - revocation form
(If you wish to revoke the contract, please fill up this form and send it back to us.)
An :
CW Performance Wheels GmbH
Albert-Schweitzer-Str.18
18442 Wendorf OT Groß Lüdershagen
E-Mail-Adresse: info@performance-wheels.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
__________________
CW Performance Wheels GmbH
Albert-Schweitzer-Str.18
18442 Wendorf OT Groß Lüdershagen
E-Mail-Adresse: info@performance-wheels.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
__________________
(*) Cross out the incorrect option.