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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.

Revocation form for download

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