Sample cancellation form
If you want to revoke the contract, please fill out this form and send it back.
At:
Econic One GmbH,
Alfred-Herrhausen-Allee 3-5,
65760 Eschborn,
Email: customercare@econicone.com
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.
