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Submit Withdrawal Request

Please fill out the following form to submit your withdrawal request.

EU Widerrufsbutton logo EU Withdrawal Button

REVOCATION DECLARATION

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

ARTHELPS non-profit GmbH
Nikolausstraße 2
70190 Stuttgart

E-mail: info@arthelps.de

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

...............................................................................................................................................................

ordered on: .................................... (*) / received on: ............................................

(*) Name of consumer(s): .......................................................................................................................................

Address of consumer(s): .......................................................................................................................................

Signature of consumer(s): ..................................................................................................................................

(only if notice is on paper)

Date: .................................................................


(*) Delete where not applicable.