Sample cancellation form
(If you want to cancel the contract, please fill out this form and send it back).
- To Hilke Schebitz, Rathenaustr. 4 , 51427 Bergisch Gladbach Germany, firstname.lastname@example.org, Germany, Fax: 022045865872
- I/we (*) 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) (only in case of communication on paper)
(*) Delete as applicable.