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Right of revocation & revocation form

Right of revocation

Add your right of revocation here.

Revocation form

(Complete and return this form only if you wish to withdraw from the contract.)

To

elasto form KG
Franz-Sollfrank-Str. 6
92237 Sulzbach-Rosenberg

Germany

Fax: +49 (0) 96 61 / 8 90-500
E-Mail:service2@elasto.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 (*)
_______________________________________________
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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)

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(*) delete as applicable