Cancellation form

withdrawal form (If you want to cancel the contract, please fill in this form and send it back.) On: AOA Performance - Alexander Hofheinz e.K. Alexander Hofheinz Niederwiesen 5 78199 Bräunlingen E-mail address: I / we hereby _____________________________ hereby revoke the contract concluded by me / us for the purchase of the following goods: - - - - the provision of the following service: - - - - Ordered on ________________ / received on _______________ Name of the consumer (s): Address of the consumer (s): Signature of the consumer (s) __________________________________