(If you wish to cancel the contract, please fill out this form and return it.)
To:
Himalaya Textile Trading GmbH
Röthbargweg 2b
22145 Braak near Hamburg
Germany
Email: service@himalayashop.de
I/we (*) hereby revoke ____________________the
concluded contract for the purchase of the following goods (*)/provision of the following service (*)
____________________
— Ordered on (*)________________/received on (*)________________
— Name of consumer(s) ________________
— Address of the consumer(s) ________________ ________________
Signature of the consumer(s) (only if notification is made on paper)_______________
- Date ________________
(*) Delete as appropriate