Sample cancellation form (If you want to cancel the contract, please fill out this form and send it back.) - To Saico GmbH Seiffen, Heinrich Heine Weg 2, 09526 Olbernhau, email address: support@saico-seiffen.de: - 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 the consumer(s) - Address of the consumer(s) - Signature of the consumer(s) (only for paper notification) - Date (*) Delete what is not applicable.