Cancellation Form

Cancellation Form

B. Cancellation Form

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

To

mec-light GmbH & Co. KG
Aachener Str. 420
41069 Mönchengladbach
Germany
Fax: 02161-6989796
Email: info@mec-light.de

I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision 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 for notification on paper)

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Date

(*) Delete as appropriate