Cancellation form

If you wish to cancel this contract, please complete and submit this form.

Premium-Modellbau Würch GmbH
Torenstrasse 9
88709 Meersburg
Deutschland

Fax: 07046 38795109
E-Mail: info@premium-modellbau.de

I/We (*) hereby give notice that I/We (*) cancel my/our (*) contract of sale of the following goods (*) /for the supply 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