To

Schott Music GmbH & Co. KG
Weihergarten 5
55116 Mainz

by fax to: +49 6131 246-211
or by email to: infonospamplease@nospampleaseschott-music.com

I/ We^* revoke the concluded me/ us contract for the purchase of the following products/ the provision of the following service^*.

Order date^*/ received date^*

Name of the consumer

Address of the consumer

Signature of the consumer (only required for communication on paper)

Date

^* Please remove if not applicable.