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Cancellation form

Sample cancellation form

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


Econic One GmbH,

Alfred-Herrhausen-Allee 3-5,

65760 Eschborn,


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 consumer(s) _____________________________________________________

Address of consumer(s)



_________________ _____________________________________________________

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

(*) Delete where not applicable.

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