Revocation form

Revocation form

withdrawal form
(If you want to cancel the contract,
please fill out this form and
Send it back.)
-
At PauSat
Lutz Paul
Hornstrasse 12
D-09599 Freiberg
Email service@pausat.de
-
Hereby give notice (s) I / We (*) to
completed by me / us (*) contract to buy
of the following products (*)
/ Provision of the following services (*)
-
Ordered on (*) / received on (*)
-
Name / consumer (s)
-
Address of / consumer (s)
-
Signature / the
     Consumer (s) (only with message on paper)
-
date
(*) Delete as appropriate.

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