Widerrufsformular
withdrawal form
Sample cancellation form
(If you want to revoke the contract, please fill out this form and send it back.)
At
ROMBOL GmbH
Friedrich-List-Strasse 65
33100 Paderborn
Fax: +49 5251 699653
Email: bestellung@rombol.de
I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service: (*)
Ordered on (*)/received on: (*)
________________________________
Name and address of consumer(s):
________________________________
________________________________
________________________________
___________________________________________________________________
Place, date and signature of the consumer(s) (only in the case of notification on paper)
________________________
(*) Delete where not applicable.
