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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.