Model cancellation form

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

To
Trusetal Verbandstoffwerk GmbH
Konrad-Zuse-Straße 15
DE-33758 Schloss Holte-Stukenbrock

Fax: +49 (0) 5207 991688-28
E-Mail: info@tshs.eu

I / We(*) hereby give notice that I /We(*) cancel my/our (*) contract of sale of the following goods (*)/for the supply 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 this for is notified on paper)

Date

(*) Delete as appropriate