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.