Model withdrawal form

If you wish to withdraw from the contract, please fill in this form and send it back to us – by email or post. We will confirm receipt of your withdrawal without delay.

To NORDLAND Fahrzeugbau GmbH, Industriestraße 12, 30179 Hannover, contact@nordland-fahrzeugbau.de:

I/we hereby give notice that I/we withdraw from my/our contract for the purchase of the following vehicle:

— Ordered on: _______________

— Received on: _______________

— Name of consumer(s): _______________

— Address of consumer(s): _______________

— Date: _______________