Sample-Revocation Form
Complete and return this form only if you wish to withdraw from the contract.
To
Foto Bravo UG (haftungsbeschränkt)
Friedrich-Hagemann-Str. 77
33719 Bielefeld
E-Mail: info@fotobravo.de
Fax: +49 521 94987505
I/We* hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*) / 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 with message on paper)
Date
(*) delete as applicable