Sample Cancellation form

(If you want to cancel the contract, please fill out this form and send it back)
To Grüne Smoothies GmbH, Urbanstraße 177a , 10961 Berlin, Germany E-mail: hello@gruenesmoothies.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 (*)

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- Name of the consumer(s)

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- Address of the consumer(s)

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- Signature of the consumer(s) (only in case of paper communication)

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- Date:

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*) Delete as applicable.