(If you want to cancel the contract, please fill out this form and return it.)
- An Astrid Bauchmüller Lederhosen e.K., Nebraskastr., 8 , 70806 Kornwestheim, firstname.lastname@example.org, Germany, Fax: +49 (0) 7141 4877078
- I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following services (*)
- Ordered on (*)/received on (*)
- Name of consumer(s)
- Address of the consumer(s)
- Signature of consumer(s) (only for paper communication)
(*) Delete as applicable.