Sample cancellation form
If you wish to cancel the contract, please fill out this form and return it.
To:
404MEDIA,
Owner: Stefan Pingel,
Töpferstraße 18,
19336 Bad Wilsnack,
Germany,
Tel.: +49 38791 80926; E-Mail: info@catama-software.de
I/We hereby revoke the contract I/we (*) signed for the purchase of the following goods ___________ (*) /the provision of the following service ___________ (*)
Ordered on _________ (*) /received on ___________ (*)
Consumer name(s): ___________
Address of the consumer(s): ___________
Signature of consumer(s) (only for notifications on paper): ___________
Date: ___________
(*) Delete as appropriate