Cancellation Form

If you wish to withdraw from the contract, please fill out this form and return it.

To:
[Nibosi]
[Nußbaumweg 10]
[83224 Grassau]
E-Mail: [watchnibosishop@gmail.com]

I/we (*) hereby withdraw from 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 consumer(s): ___________________________

Address of consumer(s): ___________________________

Signature of consumer(s) (only for communication on paper): ___________________________

Date: ___________________________

(*) Delete as appropriate.