Revocation form

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

To:
fruitweb GmbH
Groß Hove 100
21635 Jork
Tel: +49 (0) 4162 – 913964
E-Mail: shop@fruitweb.info

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

_____________________________________________________

Ordered on (*)/received on (*)

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Name of the customer

_____________________________________________________

Address of the consumer

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Signature of the consumer (only for paper notification)

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Date

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(*) Delete as applicable.

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