Sample cancellation form

(If you want to cancel the contract, please fill out this form and send it back.)
To dess akustik GmbH, Brunnenäcker 17, 73571 Göggingen:

I/we (*) hereby cancel 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 the consumer(s)

Address of the consumer(s)

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

Date

(*) Delete as appropriate.