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 Killmaier, Mommsenstr. 27, D-10629 Berlin or
email info@houseproud.de 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.
