To withdraw from the contract, you may, among other options, complete this form and return it to us.

Please address the return to:

HP’s Sport-Shop

Im Auchtert 32

72186 Empfingen

or

Send us the statement by fax to:

07485 1501

or

Send us the statement by email to: info@hps-sport-shop.de

I/We hereby withdraw from the contract concluded by me/us for the purchase of the following goods / the provision of the following

service:........................................................................................................................................(name of the goods, order number and price, if applicable)

The goods were ordered on:

I/We received the goods on:

My address is as follows:

Surname, first name:

Street:Postcode, town/city:

Date: ....................................... Customer’s signature: ............................................

Cancellation form

* marked fields are required

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