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.




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