SAMPLE FORM OF WITHDRAWAL
 
If you wish to cancel the contract, please fill out and return this form.
To
Maiers Maschinenhandel GmbH
Soechau 262
8362 Fuerstenfeld 
Austria
contact@golfcart.at
 
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 in case of paper communication)
 
 
_________________________
Date
(*) Please delete where inapplicable

Cancellation form

* marked fields are required

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