Model withdrawal form

If you want to cancel the contract, please fill out this form and send it back (email, fax or mail) [email protected] / Fax: +49 (0)9088 920 09 03

To

Goettler GmbH
Schlossstrasse 13
86745 Hohenaltheim

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

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

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

............................................................................................................................................................................. (Name(s) of the goods, if applicable order number and price)

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

Name and complete address of the consumer

(First name + Surname) ..........................................................  ..........................................................

(Street + No) .....................................................................................................................  .................

(zip code + city) ...............  ..................................

(Signature date and place) .....................................................................................................................

(signature of client) .................................................................