Model withdrawal form

If you want to revoke the contract, please fill out this form and return it.


At:

Second Broadcast - Sascha Groos

Seidenbergstrasse 38

53721 Siegburg, Germany


I / we (*) hereby revoke the contract concluded by me / us (*) concerning the purchase of the following
Goods (*) / 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 a communication on paper)



date



(*) Delete as appropriate.