Cancellation form

Cancellation form: If you wish to cancel the contract, please fill out this form and return it online here. Or send a printout to:

(*) Please fill out and delete as applicable.

- AMB-ELEKTRIK GmbH, Hechinger Straße 48, 72406 Bisingen,
Tel. 07476 870, EMail info@amb-elektrik.de

Cancellation form

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)

Date of purchase

The fields marked with * are required.

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