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Revocation form

Specimen - revocation form

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

To :
ADCS GmbH & Co. KG
Hutmacherring 5
23556 Lübeck
email: info@adcs-germany.com

I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following  products (*)/  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 in case of a notification on paper)

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Date

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(*) Cross out the incorrect option.

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