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Withdrawal form

You can use the following revocation form, but you don't have to

 

Specimen - revocation form

If you wish to revoke the contract, please fill up this form and send it back to us

to BOOM International Trading GmbH, Heidenkampsweg 84, 20097 Hamburg,

Email address: info@originelli.de

 

- I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following products

(*)/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 a notification on paper)

- Date

 

(*) Cross out the incorrect option.

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