Cancellation form

Cancellation form Sample cancellation form

(If you want to revoke the contract, please fill out this form and send it back.)

houseproud GmbH Norbert KillmaierrnLietzenburger Str. 94 D-10719 Berlin or

email 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 consumer(s) _____________________________________________________ Address of consumer(s) _____________________________________________________ Signature of the consumer(s) (only if notified on paper) __________________ Date __________________ (*) Delete where not applicable.