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revocation form

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

To

Blitzhandel24 GmbH
Daimlerring 1
31135 Hildesheim
Germany
E-mail: [email protected]

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 appropriate

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