Cancellation form

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

At :
Antip tools
Owner Sergej Antipow
Bitterfelder Str.12
D-12681 Berlin
Email info@antiptools.de

I hereby revoke
I, we (*)
that of me/us (*)
concluded contract for the purchase of the following goods (*)/the provision of the following service (*)


_____________________________________________________

Ordered on (*)/received on (*)


__________________

Name of the consumer(s)

_____________________________________________________

Address of the consumer(s)


_____________________________________________________

Signature of the consumer(s) (only for paper notification)

__________________

Date

__________________

(*)
Delete what is not applicable.