Sender:

Name________________________________________

Address______________________________________

ZIP Code/City_________________________________

Country______________________________________

 

 

Handeik & Ludwig GbR
Bökenförder Strasse 94
59557 Lippstadt

Germany

 

Cancellation of my order

 

Ladies and Gentlemen,

I herby cancel the contract concluded with me regard to the purchase the following product(s):

 

 

 

 

 

 

I ordered this/ these product(s) on :      ____________ 

 

The product(s) was/ were delivered on: ____________

 

 

My details are as follows

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Signature of the customer:

 

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