Sample cancellation form

Sample cancellation form

Your order/invoice number:

If you wish to cancel the contract, please call us or fill out this form and send it to:

Ontaria GmbH, Langendellschlag 68, 65199 Wiesbaden, Tel: +49 (0)160 977 25 149, , Email: info@ontaria.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 the consumer(s) (*):

Signature of the consumer(s) (*):

(only for notification on paper)

Date:

(*) Please delete as appropriate