Cancellation form

Sample cancellation form

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

 Maschinen und Werkzeuge Benad GmbH & Co. KG
 Im Funkwerk 9
 99625 Kölleda


 Fax: 03635-483303

 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 the consumer(s) ______________________________________
 Address of the consumer(s)

 __________________________________________________________________________ Date Signature of the consumer(s) (only for paper notification)

 _____________________________________________________________________________ (*) Strike out what is not applicable