Cancellation Form

Model Cancellation Form

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

To:

Black Hole Heart Club

Schomburgstrasse 116, 22767 Hamburg

jellevangosliga@gmail.com

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

  • Ordered on () / received on (): ___________________________

  • Name of consumer(s): ___________________________

  • Address of consumer(s): ___________________________

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

  • Date: ___________________________

(*) Delete as appropriate.