Date: [ insert date ]
Sender:
[ Insert first and last name ]
[ Insert street and house number ]
[ Insert zip code and city ]
To:
Schmuck-Werk Stefani Köster
Kölzenhainer Strasse 16 a
35327 Ulrichstein
Cancellation of my purchase contract from [ insert date ]
Customer number/order number: [ insert number ]
Dear Sir or Madam,
I hereby revoke my order of [ insert date ]
with the order number [ insert number ]
I am asking for a refund of the purchase price of [ insert amount ] euros and
the shipping costs (ECJ, judgment of 15.04.2010/511/08, Az. C-XNUMX/XNUMX) in the amount of
[ insert amount ] to the following account:
[ Insert account holder ]
[ Insert name of financial institution/bank ]
[ Insert IBAN ]
[ Insert BIC ]
Please confirm receipt of the revocation immediately.
With kind regards,
[ Insert full name + signature ]