Send to
CEA GmbH
In Tenholt 47
D-41812 Erkelenz
Fax: 02431-9758639
Mailto: info@cea.de
I Hereby notify the withdrawal from the contract related to the sale of the following products/services:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Ordered on the (*)/Delivered on the (*) ____._____._________
Name of the client and address of the client:
____________________________________
____________________________________
____________________________________
Signature of the client: __________________ Date: ____.____._______
(*) Please cross out if not applicable.