Revoke Contract

Sample cancellation form

(If you want to cancel the contract, please fill out this form and send it back).

- To Heavy - Tuned GmbH, Seilschlagstr. 6, 31311 Uetze Hänigsen, fax number: +49 5147 9749437, e-mail address: [email protected] :

- I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/ the provision of the following service (*)

- Ordered on (*)/ received on (*)

- Name of the consumer(s)
- Address of the consumer(s)
- Signature of the consumer(s) (only in case of paper communication)
- Date(s)

(*) Delete where not applicable.