To
BahnWerk-Verlag Peter Lindemann e.K.
Horstlooge 16
D-22359 Hamburg
Germany
E-Mail: info@bahnwerk-verlag.de
I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following products (*)/
the provision of the following service (*)
(designation, number, order no. and price)
Address of the consumer(s)
Revocation date (today's date!)