Cancellation form

Sample cancellation form

(If you wish to cancel the contract, please fill out this form and return it.)

- To:
Wall of Nova, Hansjakobstraße 5, 79206 Breisach, info@wallofnova.com

- I hereby revoke (*) the contract concluded by me (*) for the purchase of the following goods (*)/the provision of the following service (*):

 ____________________________________________________________________________

 ____________________________________________________________________________

- Ordered on (*): _____________________ / received on (*): _____________________

- Consumer's name: ___________________________________________

- Consumer's address: __________________________________________________________________ __________________________________________________________________

- Signature of the consumer (only if notification is made on paper):

 ______________________________________
 

• Date: _____________________     

(*) Delete as appropriate