cancellation form
Kundenservice
Tel: +49 (0)30 319 852 91
Fax: +49 (0)30 319 852 92
E-Mail: kontakt@naturheilpraxis-shop.de
Servicezeiten
Montag – Freitag
09.00 – 13.00 Uhr
Adresse
Praxis für gesundes Leben
Kastanienallee 4
10435 Berlin
cancellation form
If you want to cancel the contract, please fill out this form and send it back.
To
Naturheilpraxis-shop
Kastanienallee 4
10435 Berlin
Germany
Fax: 0049 (0) 30 41209906
Email: kontakt@naturheilpraxis-shop.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 the consumer(s)
______________________________________________________
Signature of the consumer(s) (only if notification is on paper)
_________________________
Date
(*) Delete as appropriate