Model-withdrawal form
 

 
If you want to cancel the contract, please complete this form and
send it back.

 
To:
 
Fa. S.C. HEMSEN
Owner: Sven-Christian Hemsen
Schwarzer Weg 1
52441 Linnich
E-Mail: info@s-c-hemsen.de
Fax: 02462/6094464

 
Hereby give notice that I / we (*) from my / our (*) concluded agreement on the
Sale of the following goods
(*) / the provision of the following service (*)
article /
service
appointed on:(*)
get on:(*)
Name:
address:
Date /
signature

 
(*) Please delete delete as applicable