Revocation form
If you wish to cancel the contract, please fill out this form and return it.
To
pro-log GmbH
Münnerstädter Str. 39
D-97688 Bad Kissingen
Germany (German)
E-mail: info@abenteuer-allrad.de
I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following services (*)
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Ordered on (*) ____________ / received (*) __________________
Order number _______________
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Name(s) of consumer(s)
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Address of consumer(s)
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Signature of consumer(s) (only for paper communication)
_________________________
Date
(*) Delete as applicable