Cancellation form

Sample revocation form
(If you want to cancel the contract, please fill out this form and send it back).
CarPoint Ltd.
Hohleichweg 16
76189 Karlsruhe                
Fax: + 49/ (0)721/ 9821226
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)
Date Signature of consumer(s)
                                                                                         (only for paper messages)
(*) Delete as applicable.