Revocation form

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Pattern revocation form

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

To:

Vio Vino – Wine Import & Trade e.K.

Scheffelstrasse 10

D-77833 Ottersweier

Email: Info@Vio-Vino.eu

By means we (*) revoke the contract concluded by mir/uns (*) for the purchase of the following goods (*)/The provision of the following service (*)

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Appointed on (*)/Get on (*)

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Name of consumer's/shelf (s)

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Address of consumer/Union (s)

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Signature of consumer's/must (s) (paper only)

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Date

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(*) Distant incorrect.

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