Cancellation form

**Sample Cancellation Form**

(If you wish to cancel the contract, please complete this form and send it back to us.)

– W&B Quality Products GmbH & Co. KG, Neutorstraße 75/77, 26721 Emden, Phone: +49 (0) 4921 - 9393 - 0, Fax: +49 (0) 4921 - 9393 – 900, Email: info@whiskey-spirits.com

– I/we (*) hereby cancel 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 the consumer(s)

– Address of the consumer(s)

– Signature of the consumer(s) (only if notified on paper)

– Date

(*) Delete as appropriate.