Specimen - revocation form.
(If you wish to revoke the contract, please fill up this form and send it back to us.)
- To teileplus24 GmbH, Zitadellenweg 26c, 13599 Berlin, Fax number: +493023007112, Email address: email@example.com :
- 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)
(*) Cross out the incorrect option.