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Cancellation form

Cancellation form

Please complete this form and return it to us if you wish to cancel the contract


Viktor Schmidt
Erfurter Ring 9
38444 Wolfsburg (DE)

Fax: +49 (0)5361-89075-10

I/we (*) hereby cancel the contract entered into by me/us (*) for the purchase of the following goods (*) / the provision of the following service (*)

Order placed on (*) / received on (*):

Name of the consumer(s):

Address of the consumer(s):

Signature of the consumer(s):


(*) Please delete as appropriate.