Revocation Form

If you wish to cancel the contract, please complete this form and return it to us.

To

Blitzhandel24 GmbH
Senator-Braun-Allee 9
31135 Hildesheim
Germany
E-Mail: [email protected]

I/we (*) hereby withdraw from 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 the consumer(s)

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Address of the consumer(s)

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Signature of the consumer(s) (only for notification on paper)

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Date

(*) Delete as appropriate