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:
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Date
Goods received on:
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Date
Name and address of the consumer
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Date
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Customer signature