Cancellation form


Sample cancellation form

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

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

Germany


 Fax: 03635-483303
 Email: info@benad24.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 the consumer(s) ______________________________________
 Address of the consumer(s)
 _________________________________
 _________________________________
 _________________________________


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

 _____________________________________________________________________________ (*) Strike out what is not applicable