Formular zur Widerrufsbelehrung
(If you want to revoke the contract, please fill out this form and return it by mail or email.)
or via E-Mail: firstname.lastname@example.org
I/We hereby revoke the contract concluded by me/us * for the purchase of the following goods*/the provision of the following service *
Name of customer
Adress of customer
Signature of customer (only if in written form)
* Delete if inapplicable.