Model withdrawal form

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

To
McGard Deutschland GmbH
McGard Deutschland GmbH
Nordstraße 12
D-74226 Nordheim

Fax: +49 (0) 71 33 - 90 19 32
E-Mail: csnospamplease@nospampleasemcgard.de

I/We (*) hereby give notice that I/We (^*) withdraw from my/our (^*) contract of sale of the following goods (^*)/for the provision of the following service (^*)

Ordered on (^*)/received on (^*)

Name of consumer(s)

Address of consumer(s)

Signature of consumer(s) (only if this form is notified on paper)

Date

^* Delete as appropriate.