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: firstname.lastname@example.org :
- 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
- Signature of consumer(s) (only in case of paper notification)
- Date (
*) Delete as applicable.