Cancellation form

Model cancellation form
If you want to cancel the contract, please fill out the form below and send it back to us
– To be living GmbH c/o Belisarius GmbH, Linslerhof 5 , 66802 Überherrn,, Deutschland
– I / We[*] hereby give notice that I /We[*] cancel my/our [*] contract of sale of the following goods [*]/for the supply of the following service[*]
– Ordered on [*] / received on [*]
– Name of consumer(s)
– Address of consumer(s)
– Signature of consumer(s) (only if this for is notified on paper)
– Date
[*] Delete as appropriate