Withdrawal form

(If you wish to withdraw a contract, please fill out this form and return to RAUSCH)


RAUSCH (Deutschland) GmbH, Seestrasse 9, 78464 Konstanz
Tel.: +49 7531 99 77 33
Fax: +41 71 678 12 06


Herewith I/we (*) withdraw the concluded contract I/we (*) made for the purchase of the following goods (*)/for the provision of the following services (*)

Ordered on (*)/received on (*)

Name of purchaser

Address of purchaser

Signature of purchaser (only if notification is made by paper copy)



(*) delete where not applicable.