CANCELLATION FORM

CANCELLATION FORM/ WIDERRUFSFORMULAR

ENGLISH: (Click Here for German)

If you wish to cancel the contract, please complete and return this form.

To

Louis Meinzer
Loca Clothing
Galoppstrase 9
44229 Dortmund
Germany

E-mail: info@locaclo.com

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

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Ordered on (*) ____________ / received on (*) __________________

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Name of the consumer(s)

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Address of consumer(s)

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Signature of the consumer(s) (only in case of paper communication)

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Date

(*) Delete where inapplicable