Revocation form

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

To panel sell GmbH, Tschaikowskistr. 29, 04105 Leipzig
Phone: +49-341-481 1249
fax: +49-341-527 9015
widerruf@panelsell.com

- 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)

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- Address of the consumer(s)

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- Signature of the consumer(s) (only in case of communication on paper)

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- Date

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(*) Delete as applicable.