Cancellation form

Name: Premium Modellbau
Address: Klingenstraße 11, Zaberfeld, 74374
Telephone: 07046 38795100
Price range: Top Preis-Leistung

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

Premium-Modellbau Retoure,

Steffen Würch, Torenstraße 9,

88709 Meersburg

Deutschland,

Telefon: 07046 38795100,

Fax: 07046 38795109,

Email: support@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