www.robison-anton.eu
a part of B. Struve Garngaarden A/S

(This form should only be filled and returned in case you wish to exercise your right of cancellation)

To:
B. Struve Garngaarden A/S
Egaa Moellevej 15-17
8250 Egaa
Denmark

E-mail:
info@robison-anton.eu

- I/we: ______________________________________
hereby state that I/we wish to exercise the right of cancellation concerning my/our order number: ______________________________________
regarding the following goods listed below:

- Date of order: ______________________________________
- Date of delivery: ______________________________________
- Buyer’s name: ______________________________________
Buyer’s address:
Street: ______________________________________
City: ______________________________________
ZIP-Code: ______________________________________
Country: ______________________________________


Date of cancellation request: ______________________________________