Sample cancellation form

DUHA
Müllerstraße 51A
13349 Berlin
Germany

Email: info@duhaboutique.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 the consumer(s)

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Address of the consumer(s)

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

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Date

(*) Delete as appropriate