Cancellation form

(If you want to cancel the contract, please fill out the form below and send it back to us)

To

KALANGO GmbH

Krottenbach 2

D-84367 Tann

Fax: +49 8572 963572

E-Mail: info@ kalango.com

We[*] hereby give notice that I / We[*] cancel my/our [*] contract of sale of the following

goods [*]/for the supply of the following service[*]

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Ordered on [*] / received on [*]

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Name of consumer(s)

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Address of consumer(s)

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Signature of consumer(s) (only if this form is notified on paper)

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Date

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(*) Delete as appropriate