Model withdrawal form 

(complete and return this form only if you wish to withdraw from the contract)

To:

Tilman Ritter Musikelektronik

Großenhainer Strasse 99

01127 Dresden

Germany 

Phone: +49 351 160 51 982
E-Mail: info@ritteramps.de

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the
provision of the following service (*):

Ordered on (*) / received on (*) _______________________________

Name of consumer(s)

_______________________________ 

_______________________________ 

Address of consumer(s)

_______________________________

_______________________________ 

_______________________________ 

_______________________________ 

Date Signature of consumer(s) (only if this form is notified on paper)

_______________________________ 

(*) Delete as appropriate