Returns Form (only fill in and return this form if you wish to revoke the agreement)
- On: [ name ]
[ physical address]
[ fax number, if available]
[ e-mail address]
- I/We* hereby inform you that I/We* have signed our agreement concerning
the sale of the following products: product name]*
the supply of the following digital content: [digital content designation]*.
the provision of the following service: [name of service]*,
- Ordered on*/received on* [date of order for services or receipt for products].
- [Name of consumer(s)]
- [Address of consumer(s)]
- Signature of consumer(s)] (only if this form is submitted on paper)
* Delete as appropriate or fill in as appropriate.