Right of revocation
Revocation form
If you want to revoke the contract, please fill in this form and send it by e-mail or by post to
Jan Bilk, SERVI Verlag
Hebbelstr. 36
15370 Fredersdorf
Germany
e-mail: info@servi.de
I/We* hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*) / provision of the following service (*)
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Ordered on ___________________ (*)/received on _______________________(*)
Name of the consumer(s) ______________________________________
Address of the consumer(s)
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Date signature of the consumer(s) (only with message on paper)
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(*) delete as applicable