cancellation form

(If you wish to cancel the contract, please fill out the form below and send it back to us.)

— To Feramo GbR, 60316 Frankfurt am Main Germany, support@feramo.de

- I / We(*) hereby notify that I / We(*) terminate my / our (*) purchase contract for the following goods (*) / for the provision of the following service (*)

— Ordered on (*) / received on (*)

- Name of the consumer(s)

- Address of the consumer

- Signature of the consumer (only if this is communicated on paper)

- Date

(*) Delete if necessary