Model Withdrawal Form

(If you wish to revoke the contract, please complete this form and return it.)

To

Peter Matysiak, Bürgerheimstraße 5, 10365 Berlin, Email address: hi@b-rave.shop 

I/We (*) hereby revoke the contract concluded by me/us (*) concerning the purchase of the following goods (*)/the provision of the following service (*)

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Ordered on (*) ____________ / received on (*) _________________

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Name of the consumer(s)

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Address of the consumer(s)

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Signature of the consumer(s) (only if this form is notified on paper)

_________________________

Date

(*) Delete as appropriate.