Revocation Form

Revocation Form

If you want to revoke the contract, please fill out this form and send it back.
An
Sibolab UG (limited liability)
Kastanienallee 4
10435 Berlin
Germany
Fax: 0049 0 30 41209906
Email: info@sibolab.de
I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods (*) / the provision of the following service (*):
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Ordered on (*) ____________ / received on (*) __________________
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Name of consumer (s)
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Address of the consumer (s)
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Signature of the consumer (s) (only in the case of a communication on paper)
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Date(s)
(*) Delete as appropriate