Sample cancellation form

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

At
surf4shoes GmbH
Olgastr. 31
D-72475 Bitz
Fax: +49 7431 98986722
Email: shop@mail.surf4shoes.com

- 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.