Sample cancellation form

(If you would like to cancel the contract, please fill out this form and send it back by mail or post.)


To

Weiter Weiter GmbH

c/o Merkur Logistics GmbH

Römerstr. 49

D-33758 Schloß Holte-Stukenbrock

service@weiterweiter.com


I/we(*) hereby revoke the contract for the purchase of the following goods concluded by me/us(*):

Ordered on(*)/received on(*)

-
Name of customer(s), customer number (if known)

Address of the customer(s)

Signature of the customer(s) (only in the case of a communication on paper)

Date

(*)Delete as appropriate.