Sample cancellation form
(If you want to revoke the contract, please fill out this form and send it back.)
You can print out or save the model withdrawal form by using the usual function of your Internet service program (=browser: there usually "File" -> "Print" or "Save as").
On:
Stadtmarketing Halle (Saale) GmbH
Marktschlösschen Marktplatz 13
06108 Halle (Saale)
Fax: +49 (0) 345 1227922
Email: kontakt@hallesaale.shop
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)
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Address of consumer(s)
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Signature of consumer(s) (Only if notification is on paper)
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Place and date
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(*) Delete where not applicable.
