If you want to revoke the contract, please fill out this form and send it back to:
Otto-Hahn-Straße 1 / House 2
Hereby I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods (*) / the provision of the following services (*)
Ordered on ______ (*) / received on _______ (*)
Name of the consumer (s)
Address of the consumer (s)
Signature of the consumer (s) (Only when notified on paper)
(*) Delete as appropriate.