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[translated from German using Google Translate®]

If you want to revoke the contract, please fill out this form and send it back (email, fax or post) [email protected] / Fax: +49 (0) 9088 920 09 03 At Company Karl Göttler Castle Street 86754 Hohenaltheim, Germany [translated from German using Google Translate®]
I hereby / / hereby revoke the contract concluded by me / us about the purchase of the following goods / provision of the following service: .................................................. .................................................. .................................................. ....................... .................................................. .................................................. .................................................. ....................... .................................................. .................................................. .................................................. ....................... (Name (s) of the product (s), possibly order number and price) Ordered on: ................................... / Received on: ........ ..................... (Date - Day, Month, Year) Name and complete address of the consumer (First name + last name) ............................................. As shown in Fig. ..................... (Street + no) ............................................. .................................................. As shown in Fig. (Postcode + town) .................................... ......... .................................................. ........................................... (Country) ............................................... .................................................. .................................................. , .................................................. ....................................., the ........... .................................................. .. .................................................. .. Signature Customer (only with written cancellation)