Cancellation form

If you wish to withdraw from the contract, please fill out and submit the form below.

By placing your order you agree to our data & privacy regulations.

I/We* hereby give notice that I/We* withdraw from my/our* contract of sale of the following goods*/provision of the following service:

Ordered / received on: *

Name, First Name: *

Invoice address: *

Order/invoice number, concerned products (article number): *

* Fields marked with * are required

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