Widerrufs­formular


 

(Wenn Sie den Vertrag widerrufen wollen, dann füllen Sie bitte dieses Formular aus und senden Sie es zurück.)

An

Stefan Höck & Matthias Tegtmeier GbR

Tiefes Feld 3

31688 Nienstädt

Telefax: 0049 5721 9333 900

info@ht-autoteile.de

Hiermit widerrufe(n) ich/wir (*) den von mir/uns (*) abgeschlossenen Vertrag über den Kauf der folgenden Waren (*) / die Erbringung der folgenden Dienstleistung (*)

_______________________________________________

_______________________________________________

Bestellt am ___________________ (*)/erhalten am _______________________(*)

Name des/der Verbraucher(s) ______________________________________

Anschrift des/der Verbraucher(s)

_________________________________

_________________________________

_________________________________

Datum:________________

Unterschrift des/der Verbraucher(s):___________________________________________

(nur bei Mitteilung auf Papier)

(*) Unzutreffendes streichen

 


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