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Revocation Form

MODEL WITHDRAWAL FORM

(If you want to withdraw from the contract, please fill out this form and send it back)


haustierkost.de®
VISIONISTAS GmbH
Werftstr. 26
40549 Düsseldorf

by Fax: +49 211 99446744
by E-Mail: [email protected]

I/we (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*),

Ordered on* / received on *


Name of consumer(s)


Address of consumer(s)


* Delete as appropriate

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