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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.