Revocation form

If you wish to cancel the contract, please fill out this form and return it.

To

pro-log GmbH
Münnerstädter Str. 39
D-97688 Bad Kissingen
Germany (German)

E-mail: info@abenteuer-allrad.de

 

I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following services (*)


_______________________________________________________

_______________________________________________________

Ordered on (*) ____________ / received (*) __________________
Order number _______________

________________________________________________________
Name(s) of consumer(s)

________________________________________________________
Address of consumer(s)


________________________________________________________
Signature of consumer(s) (only for paper communication)

_________________________
Date

(*) Delete as applicable

REVOCATION-FORM-Online-Shop