Revocation form
(If you want to cancel the contract, please print out this form and return it filled out).
To
ANITA MÜNZ
Bernardgasse 4
1070 Vienna
hb @ anita-muenz.at
| I / we (*) |
hereby revoke the contract concluded by me / us (*) for the purchase of the following goods:
| OrderNr.: |
| Ordered on: |
| Received on: |
|
Name of the consumer(s) (*): |
|
Address of the consumer(s) (*): |
|
Signature of the consumer(s) (*) |
| Date: |
(*) Delete where inapplicable.