Formulaire de rétractation

Model cancellation form

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

— To Mirifica UG, Leopoldstraße 2-8, 32051 Herford, Deutschland/Germany, store%mirifica.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 for is notified on paper)

— Date

(*) Delete as appropriate

Status: 2021-03-24