(If you want to cancel the contract, please fill out this form and send it back.)
-Wange GmbH, Johannes-Schriefers-Weg 72, 47877 Willich, Germany, info@wange.eu
I / we (*) hereby revoke 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)
-Date
– Signature of the consumer (s) (only if this is communicated on paper)
_______________
(*) Delete where inapplicable.