Sample Revocation Form
If you want to revoke the contract, please fill out this form and send it backTo: Broadcast & HiFi Service GmbH
Street name and number: Detmolder Strasse 14
ZIP and City: 10715 Berlin
Country: GERMANY
Telefax: +49 30/ 851 40 19
Mail: office@bhs-berlin.de
I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*):
Ordered on (*)/received on (*):
Address of consumer(s):
Signature of consumer(s) (only if notification is on paper):
Date:
* Please cross out what is not applicable
