Withdrawal form

Model withdrawal form

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

– To Sport-Service-Lorinser Sportliche Autoausrüstung GmbH, Alte Bundesstr. 45, 71332 Waiblingen, Germany,  Fax: +49(0)7151/ 136 – 1230, E-Mail: info@lorinser.com:

- 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.