Sample for the consumer cancellation form:
<b>Sample withdrawal form</b>
(If you want to revoke the contract, please fill out this form and send it back.)
– To Karl-Heinz Gonschior, Südring 7, 37124 Rosdorf, e-mail: pro-shop@beegon.de:
– I/we (*) hereby 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 consumer(s)
– Address of the consumer(s)
– Signature of the consumer(s) (only if notification is made on paper)
- Date
_________
(*) Delete where not applicable.
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