(If you wish to cancel the contract, please fill in and return this form)
- To Theresia Sommer, Brennleitenstrasse 29, 2202 Hagenbrunn, Österreich
Tel.: + 43 06643016754
- I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*).
- Ordered on (*)/received on (*)
- Name of the consumer(s)
- Address of the consumer(s)
- Signature of consumer(s) (only in case of paper communication)
(*) Delete where inapplicable.