Revocation form | Niemöller spare parts

Niemöller, Ersatzteile für Mercedes-Benz Veteranen e. K.

Markircher Straße 6
68229 Mannheim - Friedrichsfeld

Phone: 0621 47 20 46
Fax: 0621 48 11 51
Email: info@niemoeller.de

Hereby I revoke the concluded contract to purchase the following product(s):

Products^*:

Order on ^*:

Received on :

First Name ^*:

Last Name ^*:

Company :

Position :

Street + House no. :

Postcode :

City :

Country^*:

Email ^*:

Phone :

Fax :

Mobile :

^* I have taken note of the Data protection declaration. I agree to an electronic storage and processing of my entered data to answer my inquiry. The consent can be revoked at any time for the future by e-mail to info@niemoeller.de

Your team from Niemöller Online Shop.