Return form

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Return form

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If you want to revoke the contract, please fill out this form and send it back.

Uwe Draser

DRASER Import Export

Koenigsberger Strasse 39

71034 Boeblingen

Germany

Email: office@draser.eu

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

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Ordered on (*) ____________ / received on (*) __________________

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Name of consumer(s)

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Address of consumer(s)

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Signature of consumer(s) (only if notification is on paper)

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date

(*) Delete where not applicable