Cancellation form | plentyShop LTS

Cancellation form


Model withdrawal form
(You can send the sample revocation form or another clear statement or fill it in electronically on our website www.orderhouse.de).
 
At
Orderhouse GmbH
Tscherningstr. 52
74076 Heilbronn
Germany
Fax: + 49 7131 173049
Email: retoure@orderhouse.de
 
I / we (*) hereby revoke the contract for the purchase of the following goods concluded by me / us (*):
 
 
 
Ordered on (*):
received at (*) :
 
Name of consumer (s):
 
Address of the consumer (s):
 
 
Signature of the consumer (s) (only in the case of a communication on paper)
 
 
date
 
(*) Delete as appropriate