Sample cancellation form

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

 

To
Steinebank e.U.
Kallham 159
A-4720 Kallham
Austria

by fax to: +43 7276 30898-30
or by e-mail to: office@steinebank.com

 

I/we^* hereby revoke the contract concluded by me/us^* for the purchase of the following goods^* / the provision of the following service:^*.

_________________________________________________________________

 

Name of the online store^*

_________________________________________________________________

 

Ordered on^*/ received on^*

_________________________________________________________________

 

Name of the consumer(s)

_________________________________________________________________

 

Address of the consumer(s)

 

_________________________________________________________________

Signature of the consumer(s) (only in case of notification on paper)

 

_________________________________________________________________

 

Date

 

 

^* Delete as applicable.