Sample cancellation form

Cancellation form

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

At

BLICKFANG Designshop by
Charles & Marie GmbH & Co. KG
Taubenweg 7
61462 Koenigstein
Germany

Fax: +49 6174 203044
Email: orders@blickfang-designshop.com

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

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Ordered on (*) ____________ / received on (*) __________________

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Name of consumer(s)

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Address of the consumer(s)

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

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Date

(*) Delete as appropriate