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.