Sample cancellation form

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

haustierkost.de®
VISIONISTAS GmbH
Werftstr. 26
40549 Düsseldorf

by fax to: 0211 99446744
or by email to: service@haustierkost.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 made on Paper)

Date

^* Delete as appropriate.