SAMPLE REVOCATION TEMPLATE

The model for the revocation form is based on Annex 2 to Article 246a § 1 (2) sentence 1 no. 1 and § 2 (2) no. 2 Introductory Act to the German Civil Code (Introductory Act to the Civil Code).

(If you want to cancel the contract, please fill out this form and send it back.)

I/we (*) hereby revoke the contract concluded by me/us (*) for the booking of the following consultation XY/ the purchase of product XY/ (description so that it can be clearly established which consultation the revocation refers to)

    • booked on_________ (*)/ purchased on (*)_________
    • Name of the consumer(s);
    • Address of the consumer(s); where applicable, account details for the refund
    • Signature of the consumer(s) (only for paper communication);

Date