Sample cancellation form

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

— To REIMA AirConcept GmbH, Seiferitzer Allee 7, 08393 Meerane, fax 03764/7956020, e-mail info@fragrancemarketing.de

— I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*):

— Ordered on (*)/received on (*)

— Name of consumer(s)

— address of the consumer(s)

— Signature of the consumer(s) (only in the case of notification on paper)

- Date

______________

(*) Delete where not applicable