– To
Marcel Heym Musikproduktion
Modersohnweg 1
29932 Achim
GERMANY
Email: info@orbitmusic.org

– 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),

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

– Date

___________ (*) Delete as appropriate.