Cancellation form

Sample cancellation form
(If you want to cancel the contract, please fill out this form and send it back.)

- To Karl Funke e.K., In der Heide 8, 32584 Löhne, fax number: 05732/968237, email address: fkafu@aol.com:

- 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 the consumer(s)

- Address of the consumer(s)

- Signature of the consumer(s) (only for paper notification)

- Date

(*) Delete what is not applicable.