Sample cancellation form

Sample cancellation form

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

- To LYNO GmbH, Rotkäppchenweg 11, 41541 Dormagen, Germany, retoure@ella-witt.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 in the case of communication on paper)

- Date

Please inform us of the reason for your revocation (please tick the appropriate box):

• Article too small
• Article too large
• Article too narrow
• Article too wide
• Article does not like
• Article did not correspond to the description
• Other reason:

Thanks a lot!

(*) Delete as appropriate.