Sample cancellation form

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

- To, Akazienring 6a, 85391 Allershausen, Germany,

- I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following items
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 consumer(s) (only in case of paper communication)

- Date(s)

(*) Delete where inapplicable.