Model withdrawal form
(complete and return this form only if you wish to withdraw from the contract and send it per mail or email to office@nauticast.com or fax: +43-1-5237 237-150)
to
Nauticast GmbH
Lützowgasse 12-14/3.OG
A-1140 Vienna
Austria
— I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*),
— Ordered on (*)/received on (*),
— Name of consumer(s),
— Address of consumer(s),
— Signature of consumer(s) (only if this form is notified on paper),
— Date
(*) Delete as appropriate.