Sample form for withdrawal


If you wish to cancel the contract, please fill in this form and send it back to us. 

- To 
[Hoffmann Speedster Teile Vertriebs Gmbh, Gerberstraße 138-142, DE-41748 Viersen,]:

- I/We (*) revoke the contract for the purchase of the following goods (*)/supply of the following service (*)

- Ordered on (*)/received on (*) 

- Name of the consumer(s) - Address of the consumer(s)

- Signature of the consumer(s) (only in case of communication on paper)

- Date

(*) Delete where appropriate.