Revocation form template

To

billardpro.de
Baumann, Heydeck & Wegner 24-7-Shop GbR
Heidestraße 50
10557 Berlin

by Fax to: 
or by E-Mail to: servicenospamplease@nospampleasebillardpro.de

Hereby I / we* give notice that I / we* withdraw from the contract for the purchase of the following goods*/ provision of the following service*

 


Ordered on*/ received on*


Name of customer(s)


Address of customer(s)


Signature of customer(s)(only when sent on paper)


Date

*Delete as appropriate.