Sample withdrawal form
(If you want to withdraw from the contract, please fill out this form and return it to us.)
To
Lindnerhof-Taktik GmbH
Isarring 3
83661 Lenggries
Deutschland
Telefax: +49(0)8042/50390-99
E-Mail: hqg.lht@mehler-systems.com
From
Name: _______________________________________________
Street: _______________________________________________
Postcode and City: __________________________________
Country: ____________________________________________
I/we(*) hereby withdraw from the contract concluded with me/us(*) for the purchase of the following
goods(*)/the provision of the following service(*)
__________________________________________________
__________________________________________________
__________________________________________________
Ordered on ________________________ (*)
Received on ________________________ (*)
____________________ _________________________________________________________
Place, Date Signature of the consumer(s) (only for notice on paper)
(*) Cross out what does not apply.
