If you wish to revoke the contract, please fill in this form and send it back.
The form can also be found here as a download. To open the offered PDF file, you need the additional program Adobe Acrobat Reader, which you can download free of charge from the Internet.
Obernburger Strasse 125
63811 Stockstadt am Main
Fax: +49 / (0) 6027 / 3772
Herewith I/we (*) hereby revoke the contract for the purchase of the following goods (*)/providing the following service (*) concluded by me/us (*)
Ordered on (*) ____________ / received on (*) __________________
Name of Customer(s)
Address of Customer(s)
Signature of the consumer (s) (only for communication on paper)
(*) Delete as applicable