Revocation form
Specimen - revocation form
(If you wish to revoke the contract, please fill up this form and send it back to us.)
To :
ADCS GmbH & Co. KG
Hutmacherring 5
23556 Lübeck
email: info@adcs-germany.com
I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following products (*)/ the provision of the following service (*)
_____________________________________________________
Ordered on (*)/ received on (*)
__________________
Name of the consumer(s)
_____________________________________________________
Address of the consumer(s)
_____________________________________________________
Signature of the consumer(s) (only in case of a notification on paper)
__________________
Date
__________________
ADCS GmbH & Co. KG
Hutmacherring 5
23556 Lübeck
email: info@adcs-germany.com
I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following products (*)/ the provision of the following service (*)
_____________________________________________________
Ordered on (*)/ received on (*)
__________________
Name of the consumer(s)
_____________________________________________________
Address of the consumer(s)
_____________________________________________________
Signature of the consumer(s) (only in case of a notification on paper)
__________________
Date
__________________
(*) Cross out the incorrect option.