Cancellation form

(If you want to cancel the contract, please fill out this form and send it back)

-beverage dispense systems GmbH,Kopernikusstrasse 4, 50126 Bergheim, verkauf@getraenkezapfanlagen.net,

- I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/provision of the following service (*)

- Ordered on (*)/received on (*)

- Name of the consumer(s)

- Address of the consumer(s)

- Signature of consumer(s) (only in case of paper communication)

- Date(s)

(*) Delete where not applicable.