Sample Cancellation Form
(If you wish to cancel the contract, please fill out this form
and send it back)
– To:
Gyöngyi Zeilinger
Oberschauresbergstraße 1
4641 Steinhaus
Austria
E-Mail: office@zeilinger-design.at
Cancellation Policy:
"You have the right to cancel this contract within 30 days without giving any reason. The cancellation period is 30 days from the day on which you or a third party named by you, who is not the carrier, took possession of the last goods..."
– I/We (*) hereby revoke the contract concluded by me/us (*)
for the purchase of the following goods (*)/the provision of the following
| -Goods: |
| -Order number: |
Service :
| – Ordered on : |
| -Received on: |
| – Name of consumer(s) |
| – Address of consumer(s) |
| Signature of consumer(s) (only for notification on paper) |
| – Date |
The client / customer,
Name: ---------------------------------------------------------------------------------------------------------------
Address: ------------------------------------------------------------------------------------------------------------
places the order for the provision of the service described above / orders the goods
under the conditions described above.
---------------------------------------- ----------------------------------------------------------------------
(Date) (Signature)
Contractor / Supplier:
---------------------------------------- ----------------------------------------------------------------------
(Date) (Signature)