Revocation form

If you wish to revoke the contract, please print out this form and send it by fax to: +49 3212 1465182

I / we hereby revoke

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From me / us

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Concluded agreement to purchase the following
Were

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Ordered on

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received at

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Name of consumer (s)


Address of the consumer (s)


Signature of the consumer (s) (only in the case of a communication on paper)


date


(*) Delete as appropriate.