Sample cancellation form
(If you want to cancel the contract, please fill out this form and send it back).
Name: Johanna Dicks
Address addition: 109 865 205 1
Street number: 104
Phone: 0176 17879236
- I/we () hereby revoke the contract concluded by me/us () for the purchase of the following goods (*)
- Ordered on ()/received on ()
- Name of the consumer(s)
- Address of the consumer(s)
- Signature of the consumer(s) (only in case of paper communication)
(*) Delete where inapplicable.
Unless otherwise expressly agreed between the customer and us, a right of withdrawal does not apply to the following contracts:
- Contracts for the delivery of sealed goods that are not suitable for return for reasons of health protection or hygiene, if their seal has been removed after delivery.