Withdrawal form

In the event of withdrawal, please complete this form and return it to

Acolada GmbH, Wallensteinstraße 61-63, 90431 Nuremberg, Germany
Fax: +49 (0)911 / 3766 75 29
E-mail: info@acolada.de

I hereby withdraw from the contract I concluded regarding the purchase of the following products:

 

 

Name:

 

Address:

 

Order date:

 

Delivery date/setup date:

 

Town/city, date:

 

Signature