Withdrawal form

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

     - At

     Hops and more, Hüttenseestr. 40, 88099 Neukirch,
     info@hopfen-und-mehr.de, Fax: +49 7528 96990-20

     - I / we (*) hereby revoke the purchase contract concluded by me / us (*)
     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
     _______________
     (*) Delete where inapplicable.