Sample cancellation form

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

To :
Jeweler Harald Dringo GmbH
Sommergasse 11
8431 Gralla
Austria (NO RETURN ADDRESS)
E-mail jewedgmbh@juwelier-dringo.at
 

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/provision of the following service (*)_____________________________________________________Ordered on (*)/received on (*)__________________

Name of the consumer(s)

_____________________________________________________

Address of the consumer(s)

_____________________________________________________

Signature of the consumer(s) (only in case of notification on paper)

__________________

Date

__________________

(*) Delete as applicable.