Cancellation form

Cancellation form

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

At DOCTOR Mi! GmbH, Widenmayerstraße 31, 80538 Munich, Germany

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

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Ordered on (*)/received on (*):

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Name of the consumer(s):

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Address of the consumer(s):

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Signature of the consumer(s) (only for notifications on paper):

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Date

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(*) Delete as appropriate