Withdrawal form

 click to download withdrawal form pdf.

Withdrawal form

If you wish to withdraw from the contract, please complete this form and send it to:

Car-e-Cover GmbH

Harweg 24A

47239 Duisburg

Or via Fax: (49) 2151 94 03 19

Or via E-Mail: info@car-e-cover.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 (*)

_______________________________________________

_______________________________________________

Ordered on ___________________ (*)/received on _______________________(*)

Invoice Nr. _______________

First- and  Surname: ______________________________________
Street: _______________________________________________
ZIP/City: _____________________________________________
Country: ________________________________________________

We are constantly working on quality assurance and improving our products,

Please give a reason for the return:

Do not like          ¨
doesn´t                ¨
defect                 ¨
other reason        ¨                _______________

_________      ______________________________________________________

Date                Signature (only needed when send as hardcopy)

(*) Cross out where inapplicable