CANCELATION FORM

If you wish to cancel this contract, please print, complete and submit this form.

Anni Carlsson GmbH
Milchstraße 10a
20148 Hamburg
Deutschland

E-Mail: office@anni-carlsson.com

I/We (*) hereby give notice that I/We (*) cancel my/our (*) contract of sale of the following goods (*) /for the supply of the following service (*),

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Ordered on (*) ____________ / received on (*) __________________

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Name of consumer(s)

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Address of consumer(s)

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Signature of consumer(s) (only if this form is notified on paper)

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Date

(*) Delete as appropriate