Xtra Widerrufsformular

Revocation form

If you wish to cancel the contract for Gurkerl Xtra, you can use this form and send it back to us by post or e-mail, for example: 

Gurkerl.at GmbH

Gutheil-Schoder-Gasse 17

1230 Wien

E-Mail: kunden@gurkerl.at

REVOCATION

I hereby revoke the contract for Gurkerl Xtra that I concluded at _________.

Name:

Address:

Telephone number:

E-mail address:

Place, date __________                                        

Signature __________