If you wish to cancel the contract, please complete this form and return it.

To

Izonn GmbH
Senator-Braun-Allee 9
31135 Hildesheim
Germany
E-mail: shop@Izonn.com

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

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

Name of consumer(s)

Address of consumer(s)

Signature of consumer(s) (only for notification on paper)

_________________________________
Date

(*) Delete as applicable