To hifidom Inh. Dieter Steinwedel, Konrad-Adenauer-Str. 20, 30823 Garbsen , Germany, e-mail address: shop@hifidom.com I/we (*)* hereby revoke* the* contract concluded* by me/us (*) for the Purchase of the following goods (*)/provision of the following service (*) ______________________________________________________ ______________________________________________________ Ordered on (*) ____________ / received on (*) _________________ _______________________________________________________ Name of the consumer(s) _______________________________________________________ Address of the consumer(s) _______________________________________________________ Signature of the consumer(s) (only for notification on paper) _________________________ Date Delete as applicable.
Sample withdrawal form
(If you wish to cancel the contract, please fill out this form and send it back to us)