(If you want to revoke the contract, please fill out this form and send it back.)
At
Ömer Hakan Ölçer - Hafsa Software Fritz-Reuter Str.19 21629 Neu Wulmstorf, email address: info@ Kaffeeschiff.de
I/we (*) hereby revoke the contract concluded by me/us (*)
Purchase of the following goods (*)/provision of the following service (*)
______________________________________________________
______________________________________________________
Ordered on (*) ____________ / received on (*) _________________
_______________________________________________________
Name of consumer(s)
_______________________________________________________
Address of consumer(s)
_______________________________________________________
Signature of consumer(s) (only if notification is on paper)
_________________________
Date
(*) Delete where not applicable
Created with the data protection generator.de by Dr. Thomas Schwenke
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