Cancellation form

Sample cancellation form

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

At

Sonja Jeske
Ohlendorfer Strasse 10a
21220 Seevetal

Email: shop@jeskedesign.de

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 consumer(s) ______________________________________ _____

Address of the consumer(s)

_________________________________ _________________________________ ____

_________________________________ _________________________________ ____

_________________________________ _________________________________ ____

_____________________________________________________ ___________________
Date Signature of the consumer(s) (only if notification is on paper)

(*) Delete as appropriate