Cancellation form


Cancellation form

(If you wish to cancel the contract, please fill out this form and return it.)
To:
Melanie Engels
Lucky Dogs
Johann-Dohr Str. 15
41066 Mönchengladbach
Germany

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)
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Ordered on:__________/received on (*)___________________

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Name of the consumer(s)

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Address of the consumer(s)

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Signature of the consumer(s) (only if notification is on paper) _________________________________________________________

Date

(*) Delete as appropriate