Main page » Model withdrawal form

Withdrawal

Complete and return this form only if you wish to withdraw from the contract.

To

TERRES GmbH Handelsvertretung für technische Waren
Herbert Joas
Am Jägereck 16
85635 Höhenkirchen
Germany

Fax: 089 608 68 299
E-Mail: info@sidequest.de

Withdrawal

Note: Delete as appropriate.

Ordered on

Received on

Name of consumer(s)

Gender

Mr Miss/Ms/Mrs None

Firstname

Lastname

Address of consumer(s)

No./Street

Postcode/ZIP / Town

Country

Your e-mail address, to immediately confirm the receipt of the withdrawal

Your e-mail

Withdrawal date

Privacy I have read the privacy notice.

* required