Cancellation form

Sample cancellation form

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

- To Mediatex GmbH, Nuthestraße 1, 15749 Mittenwalde, Email: mail@thorsteinar.de

- I/we (*) hereby cancel 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.