To
Krump OpenWebWork
Zum Grünen Weg 28
50374 Erftstadt
Germany
service@openwebwork.eu
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 (*) _______________________
Name of the consumer(s) ___________________________________________________
Address of the consumer(s) _________________________________________________
Signature of consumer(s) __________________________________________________
(only if notification is made on paper)
Date _____________________
(*) Delete as appropirate