(If you wish to cancel the agreement, please complete and return his form).
Sample Revocation Form
TIER Mobility GmbH,
Tel: +49 030 / 568 38651,
I/we (*) hereby revoke the agreement concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*):
Ordered on (*)/received on (*):
(only for paper notices)
(*) Delete as applicable.