Model Withdrawal Form
(If you wish to cancel the contract, please fill out this form and send it back to us.)
To:
WLAN-Shop24.de
DAJB Hamburg GmbH
Von-Bargen-Straße 34
22041 Hamburg, Germany
Fax: +49-40-605902419
E-Mail: hallo@wlan-shop24.de
WLAN-Shop24.de
DAJB Hamburg GmbH
Von-Bargen-Straße 34
22041 Hamburg, Germany
Fax: +49-40-605902419
E-Mail: hallo@wlan-shop24.de
I/we (*) hereby give notice that I/we (*) cancel my/our (*) contract for the purchase of the following goods (*) / for the provision of the following service (*):
_______________________________________________________
Ordered on (*): __________ / Received on (*): __________
Sender:
Name: _________________________________________________
Address: ______________________________________________
_________________________
Signature (only if notified on paper)
Date: __________
(*) Delete as appropriate.