(If you want to revoke the contract, please fill out this form and send it back)
An
Bildergipfel oHG
Schwindstr. 17
95447 Bayreuth
E-Mail: info@bildergipfel.de
I/we(*) hereby revoke the contract concluded by me/us(*) for the purchase of the following goods(*) / the provision of the following service (*)
Order on: (*) / received on (*):
<>br>Name of consumer(s)
Address of consumer(s)
Signature of the consumer(s) (only for Notice on paper)
Datum
____>><><><>< <_><<>
