Muster-Widerrufsformular

[translated from German using Google Translate®]

If you want to revoke the contract, please fill out this form and send it back (email, fax or post) service@fensterwischer.info / Fax: +49 (0) 9088 920 09 03

At

Company Karl Göttler
Castle Street
86754 Hohenaltheim, Germany


[translated from German using Google Translate®]

I hereby / / hereby revoke the contract concluded by me / us about the purchase of the following goods / provision of the following service:
.................................................. .................................................. .................................................. .......................

.................................................. .................................................. .................................................. .......................

.................................................. .................................................. .................................................. .......................
(Name (s) of the product (s), possibly order number and price)

Ordered on: ................................... / Received on: ........ ..................... (Date - Day, Month, Year)



Name and complete address of the consumer

(First name + last name) ............................................. As shown in Fig. .....................

(Street + no) ............................................. .................................................. As shown in Fig.

(Postcode + town) .................................... ......... .................................................. ...........................................

(Country) ............................................... .................................................. .................................................. ,


.................................................. ....................................., the ........... .................................................. ..

.................................................. .. Signature Customer (only with written cancellation)