Revocation form

 


 

To:
Prepaid-Global.com
Boersenreport.de AG
Kappeneck, 20 c
86152 Augsburg
Germany


via E-Mail : supportnospamplease@nospampleaseprepaid-global.com

(If you wish to revoke the contract, please fill up this form and send it back to us.)

 

I/we (*) herewith revoke the contract concluded by me/ us (*) regarding the purchase of the following products (*)/
  the provision of the following service (*)

ordered on */ received on *


 

Name of the consumer (s) 


 

Adress of the consumer (s)


 

Signature of the consumer(s) (only in case of a notification on paper)


 

Date


 

(*) Cross out the incorrect option.

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