Specimen - revocation form

Specimen - revocation form
 

(If you wish to revoke the contract, please fill up this form and send it back to us.)

To

Malawerkstatt
Nic. Pscheidt
Schopenhauerstr. 9
85579 Neubiberg bei München
E-Mail: info@malawerkstatt.de

- I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following  products (*)/
  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 a notification on paper)              

_______________________________
- Date

(*) Cross out the incorrect option.