If you wish to cancel the contract, please fill out and return this form.
To
Wiresoft AG
Oberneuhofstrasse 5
CH-6340 Baar
Email: [email protected]
I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/provision of the following service (*)
_______________________________________________________
_______________________________________________________
Ordered on (*) ____________ / received on (*) __________________
________________________________________________________Name of the consumer(s)
________________________________________________________Address of the consumer(s)
________________________________________________________Signature of
consumer(s) (only in case of paper notification)
_________________________Date
(*) Delete where not applicable