Cancellation form

If you wish to cancel the contract or return one or more ordered items, please fill out this form and
send it back.
To: Excellence is my poison
Hohe Egge High Trail 11
45549 Sprockhövel
North Rhine-Westphalia
Germany
I hereby revoke _______________________ the contract I concluded for the
Purchase of the following product(s) ______________________________ _
_______________________________
_______________________________
Ordered on _____________ received on _______________
Name of the consumer _______________________
Address of the consumer_____________ ________
Signature of the consumer_____________ ______
Date___________________
Extra information:
Return costs must be borne by the customer!