Sample Cancellation Form

(Should you wish to cancel the contract, please fill out this form and send it to us.)

To:
GEFRO KG
Rudolf-Diesel-Str. 21
87700 Memmingen / Allgäu, Germany
Fax: +49 8331 / 95 95 – 17
Email: info@gefro.de


I/we (*) hereby cancel the order concluded by me/us (*) for the purchase of the following products (*)/provision of the following services (*)
Ordered on (*)/received on (*)
 


Name of consumer(s)

 

 
Address of consumer(s)

 

 
Signature of consumer(s) (only required on paper form)

 
Date

___________________
(*) Delete where inapplicable