Cancellation form

Model-Cancellation form

(If you want to cancel the contract, please fill out this form and send it back.)

– Nerd-Force1 UG, Herner Str. 299 - Gebäude B29, 44809 Bochum, Germany,

–I hereby give notice – within the statutory deadline- that I withdraw from my order with the given order Nr. above. Please confirm the receipt of this letter and the termination of the contract in writing.  (*)

– Order Date (*)/Date of receive (*)

– customer name

– Customer Adress

– Sign (only if not Digital submitted)

– Date

(*) Delete where inapplicable.