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Revocation Form
To
Aqua-Terra24
Jörg Lindner
Ringstr. 38
83224 Grassau
via Fax to: +49 8641 5914308
or via E-Mail to: infonospamplease@nospampleaseaqua-terra24.de
I/we* hereby revoke the contract concluded by me/us* for the purchase of the following goods* / the provision of the following service*:
Ordered on*/ received on*
Name of the consumer(s)
Address of the consumer(s)
Signature of the consumer(s) (only in case of notification on paper)
Date
* Delete as applicable.
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