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Cancellation form

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

First name

Last name

Street and house number

ZIP code

City

e-mail

Order number

Order date

Date today

Reason for cancellation (optional)

Signature (Type your name)

Ich/Wir widerrufe(n) hiermit den von mir/uns abgeschlossenen Vertrag über den Kauf der folgenden Waren.