Sample cancellation form

To: Rüya Moda, owner Vildan Özsayan, Landstraße 69, 45968 Gladbeck, Email: rueyamoda@web.de, WhatsApp: +49 174 212 3575

I/we hereby revoke the concluded contract for the purchase of the following goods:

__________________________________________________

Ordered on: __________ Received on: __________

Name: _________________________
Address: _____________________

Signature (only for paper form): __________
Date: __________