cancellation form

Sample cancellation form

(If you wish to cancel the contract, please fill out this form and return it.)

To

Steppenberg GmbH

Am Schlosspark 2

01471 Radeburg

Germany

Email: Klotsche@rabenring.com

Hereby
I/we (*) 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 if notification is made on paper)

Date

(*) Delete as appropriate.