Cancellation form

If you wish to withdraw from your contract with us, please complete this form and send it to us.

Please do not return the devices to us. We will contact you and organise a collection of the goods. Thank you for your support.

Your name

Your email

Your street & number

Your postcode & town

Date of order

Order number

Reference number

Quantity (number of pieces)

Your message (optional)

I have taken note of the privacy policy. I consent to my data and information being processed electronically for the purpose of dealing with my request. I am aware that I can revoke my consent at any time with effect for the future by means of a simple declaration, for example by means of this contact form or by e-mail to info@rzb-care.de.