Sample Cancellation Form

Model withdrawal form

(If you wish to withdraw from the contract, you can fill out and return this form.)

To:

Konstantinos Kisniaridis – Tierpflege Deutschland
Owner: Konstantinos Kisniaridis

Martin-Luther-Str. 8
41751 Viersen
Germany

E-Mail: info@tierpflege-deutschland.de

Hereby I/we withdraw from the contract concluded by me/us for the purchase of the following goods:



Ordered on:


Received on:


Name of consumer(s):


Address of consumer(s):



Date:


Signature of consumer(s)
(only required for communication on paper)