Cancellation form

Please note that companies are exempt from the statutory right of withdrawal.

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

AQUA WELLNESS SHOP
Margeritenweg 5a

42929 Wermelskirchen
Email: rueckgabe.aws@gmail.com


I/we (*) hereby revoke 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 (*) _________________


Order number______________________________________________


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Name of the consumer(s)


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Address of the consumer(s)


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


___________________________
Date



(*) Delete as appropriate.