To:
BeTogetherMedia B.V.
Ir. Jules Kayserdreef 9
5915 JP Venlo
Netherlands
E-Mail: support@betogethermedia.info
Hereby I/we revoke the contract entered, regarding the purchase of the following goods/ rendering the following services ______________________________
Ordered on /received on ____________________________
Name of consumer (s) _____________________________
Address of Consumer(s) _______________________________
Signature of Consumer(s) (applies to letter notification only) _________________________
Date ___________________
Delete as applicable.