revocation

sample cancellation form

If you wish to cancel the contract, please fill out this form and send it to us
back.

To:
HiBali Jewelry and Accessories Shop
Owner: Sanja Beretta
Wölberstieg 1
20457 Hamburg
E-Mail: join@hibali.de

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 if notification is on paper)

Date

(*) Delete as appropriate.