Cancellation form

If you wish to cancel the contract, please fill out this form and return it.
To
Sibolab UG (limited liability)
Kastanienallee 4
10435 Berlin
Germany
Fax: 0049 (0) 30 41209906
Email: info@sibolab.de
I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)
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Ordered on (*) ____________ / received on (*) __________________
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Name of the consumer(s)
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Address of the consumer(s)
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Signature of the consumer(s) (only if notification is made on paper)
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Date
(*) Delete as appropriate