Sample Cancellation Form

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

Rudolf-Diesel-Str. 21
87700 Memmingen / Allgäu, Germany
Fax: +49 8331 / 95 95 – 17

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)


(*) Delete where inapplicable


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