Cancellation form
If you wish to cancel this contract, please complete and submit this form.
Website
To :
WilTec Wildanger Technik GmbH
Königsbenden 12
52249 Eschweiler
Tel. +49 2403 555 92 0
Fax +49 2403 555 92 15
EMail: service@wiltec.info
Cancellation form *:
I/We hereby give notice that I/We cancel my/our contract of sale of the following goods:
Hint: Delete as appropriate.
Ordered on *:
Received on *:
Name and Surname
Title *:
---
Mrs.
Mr.
Your Name *:
Your Surname *:
Your Address
Street, street number *:
ZIP/City *:
Country *:
Your E-Mail to confirm the receipt of the cancellation
Your E-Mail *:
Cancellation date *:
* Required
