(If you want to cancel the contract, please fill out this form and send it back.)
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-Wange GmbH, Johannes-Schriefers-Weg 72, 47877 Willich, Germany, info@wange.eu
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I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods (*) / 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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 -Date
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– Signature of the consumer (s) (only if this is communicated on paper)
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         _______________
(*) Delete where inapplicable.