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

SEI DESIGN home textiles

Owner Irina Richter service department

Sachsenhausener Str.6D 16515 Oranienburg

e-mail: service@sei-design.de

Fax: 03301 / 83926-26

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 * ______________

Surname ________________________________________________

Order or customer number________________________________________________

Address         ________________________________________________
             ________________________________________________
Date             _____________________________
Signature         ______________________________
(only required for notification on paper)
* Please delete what does not apply.