Cancellation form


Model withdrawal form

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

- To Intelligent Digital Services GmbH, Seelandstr. 14-16, D-23569 Lübeck, Germany, info@ids-digitaltv.de, Fax: 49 (0) 451 489 08 291

- 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 if this is communicated on paper)

- Date

(*) cross out where inapplicable.