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Revocation form

Pattern revocation form

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

To: Homestyle4u GmbH & Co. Kg
  Moosgrund 8, 39130 Magdeburg
  Fax: 03212-10 37 21 0
  Email: info@homestyle4u.de

Hereby we (*) revoke the contract concluded by mir/uns (*) for the purchase of the following goods (*)/the provision of the following service (*)

Ordered on (*) _ _ _ _ _ _ _ _ _ _ _ _ _ get on (*) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_______________________________________________________
  Name of consumer's/shelf (s)

_______________________________________________________
  Address of consumer/Union (s)

_______________________________________________________
  Signature of consumer's/must (s) (paper only)

_______________________
  Date

(*) Distant incorrect.

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