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

To

Orizon Solutions
215 W Works St Sheridan, Wyoming 82801
E-mail: shop@orizonsolutions.com

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 in case of notification on paper)

_________________________________
Date

(*) Delete as appropriate