Cancellation form

Sample - Cancellation form

(Complete and return this form if you want to withdraw from the contract.)

Kellermann GmbH
Jülicher Straße 336
52070 Aachen
Germany
Fax: +49241-93808-16
Mail: bestellung@kellermann-online.com

I/We* hereby give notice that I/we* withdraw from my/our* contract of sale of the following products:

(Please describe your article here)

Ordered on… (*)/Received on… (*)

Name of customer:

Adresse of customer:

Signature of customer (only by communication on paper):

Date:

(*) Please cross off what is not applicable.

You can also download the withdrawal form.

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