Cancellation form

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

An

DampfWatt Agentur UG (haftungsbeschränkt)
Brüggeweg 45
D-45768 Marl

E-Mail: sales@dampfwattagentur.de

[here the entrepreneur must insert the name, address and, if applicable, the fax number and email address of the entrepreneur]:

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 _______________________(*)


Name of consumer(s) ______________________________________


 Address of the consumer(s)


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

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(*) Delete as appropriate