At
Hemp
Dolgenseestr. 41
10319 Berlin
E-mail: info@aushanf.com
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 consumer(s)
...................................
Address of the consumer(s)
...................................
...................................
...................................
...................................
Signature of the consumer(s) (only in the case of notification on paper)
...................................
Date
(*) Delete as appropriate.