Cancellation form


Specimen - revocation form

(If you wish to revoke the contract, please fill up this form and send it back to us.)

- To Riedel Autorecycling GmbH, Talstrasse 132, 08359 Breitenbrunn, Fax number: +49 37756 7187, Email address: info@rar-carparts.com :

- I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following  products (*)/
  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 a notification on paper)
- Date

(*) Cross out the incorrect option.