Withdrawal form


Firma Wheelstore24 GmbH

Lister Kirchweg 91B

30177 Hannover

Telefon: 0511 12271978

Email: info(at)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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