Sample revocation form

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

- To The Rock Shop e.K., Im Bosseldorn 23, 69126 Heidelberg, E-mail address: info@therockshop.de :

- 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 the consumer(s)
- Address of the consumer(s)
- Signature of the consumer(s) (only in the case of communication on paper)
- Date

(*) Delete as appropriate.