Muster-Widerrufsformular
To
Boxen.de GmbH
Sapporobogen 6-8
80637 Munich
Germany
E-mail: office@boxen.de
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)
________________________________________________________
Address of consumer(s)
________________________________________________________
Signature of the consumer(s) (only in case of paper communication)
_________________________
Date
(*) Delete where inapplicable