Cancellation form
Specimen revocation form
(If you wish to revoke the contract, please fill up this form and send it back to us).
- To dynamic SHIELD GmbH, Provinzstr. 40a, 13409 Berlin, Germany, e-mail address: widerruf@artwizzstore.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 the consumer(s)
- Address of the consumer(s)
- Signature of the consumer(s) (only for notification on paper)
- Date
(*) Delete as appropriate.
