Model cancellation form

To 
quintessence a cappella
c/o Daniel Berg 
Johann-Justus-Weg 118
26127 Oldenburg 
Germany

Or by email to

info@quint-essence.de

I hereby give notice that I cancal my contract of sale of the following goods: 

.............................................................................. 
.............................................................................. 

(name of goods, and price) 

Ordered on: 

............................. 

Received on: 

............................. 

Address of consumer 
............................. 
............................. 
............................. 
............................. 

Date

.................................................... 
Signature 
(only if this form is notified on paper)