Right of withdrawal – Boris Herrmann

Model cancellation form

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

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(Name, address, fax number and e-mail address of the entrepreneur if applicable)

I / we hereby revoke the purchase contract concluded by me / us of the following goods / the provision of the following service:

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(Name of the goods, order number and price if applicable) Goods ordered on:

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Date goods received on:

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Date

Name and address of the consumer

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Date

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Customer signature

(only with written revocation)