Cancellation form

Sample cancellation form

If you wish to cancel the contract, please complete this form and return it to us.

To:

Licht-Studio Völker

Hans Völker

Zinnaer Vorstadt

14913 Jüterbog

Phone: +49 3372 439588

Fax: +49 3372 400008

Web: www.lidevo.de

E-Mail: info@lidevo.de

I/we hereby cancel the contract concluded by me/us for the purchase of the following goods/the provision of the following service:

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(Name of the goods, order number and price if applicable)

Goods ordered on:

.............................

Date

Goods received on:

.............................

Date

Name and address of the consumer

.............................

Date

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Customer signature