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

Katzer Printvision GmbH
Industriestr. 18
69207 Sandhausen
Germany

Tel.: +49 (0)6224 93370
E-Mail: quickshop@katzergmbh.de


I/We (*) hereby give notice that I/We (*) cancel my/our (*) contract of sale of the following goods (*)
___________________________________________________________

___________________________________________________________

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


____________________________________________________________
Name of consumer(s)


____________________________________________________________
Address of consumer(s)


____________________________________________________________
Signature of consumer(s) (only if this form is notified on paper)

_________________________
Date
(*) Delete as appropriate