Cancellation form

Sample cancellation form

(If you wish to cancel the contract, please complete and return this form). - To [insert here the name, address and, if applicable, the fax number and e-mail address of the trader by the trader]:

- 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 consumer(s) - Signature of consumer(s) (only if notice is given on paper) - Date ___________

(*) Delete where not applicable

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