Withdrawal Form

(If you wish to withdraw from the contract, please fill out this form and send it back.)

To
711rent Service GmbH
Beerenweg 3
22761 Hamburg
Telefon: +49 40 63606690
Email: shop@711rent.com

I/we hereby withdraw from the contract I/we have concluded for the purchase of the following goods:

 

Ordered goods: ____________________________

Order number: _______________________________

Name of the consumer(s): _____________________

Address of the consumer(s): ___________________

Date of purchase: ___________________________

Signature of the consumer(s) (only if sent on paper): _______________________

Date: _______________