If you wish to cancel the contract, please complete this form and send it back. Alternatively, you can conveniently submit your cancellation online using our online cancellation form.
To
VEOLO UG
Georg-Schwarz-Straße 109
04179 Leipzig
Germany
Email: info@veolo.de
— I/we (*) hereby cancel 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 consumer(s)
— Address of consumer(s)
— Signature of consumer(s) (only for notification on paper)
— Date
(*) Delete as appropriate.