Revocation Form

Revocation Form

(If you want to cancel the contract, please fill out this form and send it back.)
Duckgeischel GmbH
Bahnhofstr.19

55234 Bechtolsheim
Deutschland
Fax: 06733-7665
E-Mail: duckgeischelgmbh@gmx.de

I hereby revoke the contract for the purchase of the following product(s):
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Order date:

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Delivery date:
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Name of the purchaser:
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Address of the purchaser

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Signature of the purchaser (only for communication on paper):

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Date:
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