Widerrufsrecht

Withdrawal form

To:

Firma Wheelstore24 GmbH

Herrn Hendrik Luczak

Kirchwender Str. 22, 30175 Hannover

Telephone: 0176 – 66854670

Email: info@power-bikes.de

 

I / we hereby revoke the contract I / we concluded for the purchase of the following goods.

Information about the goods ______________________________________

 

Number | Item name Order date __________________________

 

Order number _________________________________________

 

Goods were recieved on _______________________________________

 

Total price of the goods in € ________________________________

 

Your personal information:

First name, Last name: _____________________________________

Street and house number _______________________________

Postcode / town: ___________________________________________

Date: _____________________________________________

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