Cancellation form
Cancellation
I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase
the following goods (*)/ the provision of the following service (*).
Ordered on (*) /
received on (*) ...............................................................
Name of the
Consumer(s) ...............................................................
Address of the consumer(s)
consumer(s)
...............................................................
....................................
Signature of the
consumer(s)
(only for notification
on paper)
...........................................................
Date
*Please delete as applicable
