Sample Withdrawal Form strong>
(If you want to cancel the contract, please fill out this form and send it back.) P>
At
HighLine Auto Parts GmbH
Römeräcker 4
76351 Linkenheim-Hochstetten
E-Mail: info@onlineteile24.de p>
& nbsp; p>
I / we (*) hereby revoke the contract for the purchase
made by me / us (*)
the following goods (*) / the provision of the following service (*) p>
_______________________________________________ p>
_______________________________________________ p>
Ordered on ___________________ (*) / received on _______________________ (*) p>
Name of the consumer (s) ______________________________________ p>
Address of the consumer (s) p>
_________________________________ p>
_________________________________ p>
_________________________________ p>
__________________________________________________________________________
Date Signature of the consumer (s) (only on notice on paper) p>
_____________________________________________________________________________
(*) Delete as appropriate p>
& nbsp; p>