Cancellation form
If you wish to cancel the contract, please complete this form and send it to us:
Cancellation form
To:
UKE Underwater Kinetics Europe GmbH
Ritterstr. 45b
42899 Remscheid
Germany
Phone + 49 (0) 2191 890 254 0
Fax + 49 (0) 2191 890 254 44
E-Mail: info@uwkinetics.eu
I/we (*) hereby cancel the contract I/we (*) entered into to purchase the following goods:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Ordered on (*)/received on (*) _____________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Name of consumer(s) _____________________________________________________________________________________ ____________________________________________________________________________________________________________ Adress of consumer(s) ____________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Signature of consumer(s) (only if notification on paper) __________________________________________________ ____________________________________________________________________________________________________________ Date ______________________________________________________________________________________________________
(*) Please delete as appropriate.
Version 01/2020