Revocation form

Sample revocation form

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

- To KN-Aquaristik Versandhandel GmbH, Haderslebener Str. 4a, 25421 Pinneberg, Telefax number: +49 4101 775362, E-mail address: info@kn-aquaristik.de :

- I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the
p rovision of the following service (*)

- Ordered on (*)/ received on (*)

- Name of consumer(s)
- Address of consumer





(s)






- Signature of consumer(s) (only in case of paper notification)
- Date (

*) Delete as applicable.