Form
If you wish to revoke the contract, please fill up this form and send it back to us.
To Quang Hai Pham, Lessingstraße 10, 10555 Berlin, Email address: contact@vvengeance.berlin:
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.