Cancellation form

-------------------- Cancellation form -------------------- If you wish to cancel this contract, please complete and submit this form. SOGO GmbH Querstr. 7 33729 Bielefeld Deutschland E-Mail: info@sogo24.de I/We (*) hereby give notice that I/We (*) cancel my/our (*) contract of sale of the following goods (*) /for the supply of the following service (*), _______________________________________________________ _______________________________________________________ Ordered on (*) ____________ / received on (*) __________________ ________________________________________________________ Name of consumer(s) ________________________________________________________ Address of consumer(s) ________________________________________________________ Signature of consumer(s) (only if this form is notified on paper) _________________________ Date (*) Delete as appropriate