Withdrawal form

Model withdrawal form

(If you want to cancel the contract, please fill out this form and send it back.)

To:
SPRiNTUS GmbH
Reizenwiesen 1
73642 Welzheim
Germany

Fax number: +49 (0) 7182-80404-0
Email address: kontakt@sprintus.eu

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 of the consumer (s)

Address of the consumer (s)

Signature of the consumer (s) (only for notification on paper)

date

________________________

(*) Delete where inapplicable.