Formular zur Widerrufsbelehrung

Withdrawal from contract form

Schulte-Mönting-Str. 3
33378 Rheda-Wiedenbrück

by fax to: (0 52 42) 57 73 16
or by e-mail to:

Herewith I/we* withdraw from my/our* legal contract regarding the purchase of the following goods* / the provision of the following services*


Ordered on*/ received on*

Customer(s) name(s):

Customer(s) address(es):

Customer(s) signature(s)
(only applicable if submitted on paper)


* delete if not applicable..