Withdrawal Form

Sample withdrawal form

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

– To 4 Traders GmbH Feldhofstr.2 45879 Gelsenkirchen Fax: 0209 35979929 Mail: info@4traders-gmbh.de :

– I/ we (*) hereby revoke the contract concluded by me/ us (*) for the purchase of the following

Were (*)/

the provision of the following service (*)

– Ordered on (*)/ received on (*)

– Name of consumer(s)

– Address of the consumer(s)

– Signature of the consumer(s) (only if notification is made on paper)

– Datum

(*) Delete where not applicable.