Cancellation form

If you want to cancel your contract, please fill in this form and send it back

To

Detlev Krauß
Im Kutscherhof 11
61137 Schöneck

Hereby I cancel my contract concerning the following items:

Date ordered:Format: dd.mm.yyyy
Item:
Name:
Address:
Date:Format: dd.mm.yyy
Email:
Costumer No:
Invoice No: