(If you wish to cancel this contract, please complete and submit this form.)
Altenburger Straße 47-49
07580 Ronneburg / Germany
Fax: +49(0) 36602–9327-29
- I/We[*] hereby give notice that I/We[*] cancel my/our[*] contract of sale of the following goods[*] / for the supply of the following service[*]
- Ordered on [*]/received on [*]
- Name of consumer(s)
- Address of consumer(s)
- Signature of consumer(s) (only if this form is notified on paper).
[*] Delete as appropriate.