Specimen - revocation form

Specimen - revocation form
 
(If you wish to revoke the contract, please fill up this form and send it back to us.)
 
- To Global Trade Maaßen, Daniel Maaßen, Achterhoeker Schulweg 1a, D-47626 Kevelaer, Germany, Email address: info@masgard.com :
 
- I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following  products (*)/
  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 in case of a notification on paper)
- Date
 
(*) Cross out the incorrect option.
 
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