Right of revocation & revocation form

Revocation form


To
Juri Dukwin,
Kleewiese 15,
53925 Kall,
Telefaxnummer: 024417782601,
E-Mail-Adresse: info@dukmodell.de :



I/We* hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*) / provision of the following service (*)
_______________________________________________
_______________________________________________

Ordered on ___________________ (*)/received on _______________________(*)

Name of the consumer(s) ______________________________________
Address of the consumer(s)
_________________________________
_________________________________
_________________________________

_________      _____________________________________________________
Date                signature of the consumer(s) (only with message on paper)

_____________________________________________________________________________________
(*) delete as applicable

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