Cancellation Form

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

- To Demotex GmbH, Hammer Str. 64, 45239 Essen, fax number: 020136577486, e-mail address: sales@demotexgroup.de :

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

- Ordered on (*)/received on (*)

- Name of the consumer(s)
- Address of the consumer(s)
- Signature of consumer(s) (only if notice is on paper)
- Date

(*) Delete where inapplicable.