Cancellation form
Revocation Form
If you wish to revoke the contract, please fill in this form and send it back to us.
To
pervormance international GmbH
Mühlsteige 13 . 89075 Ulm, Germany
Fax: ++49 731-1407114 . E-Mail: info@slimcool.de
I/we (*) herewith revoke the contract concluded by me/us (*) regarding the acquisition of the following goods:
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Date of order ____________ / Date of reception __________________
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Name of consumer(s)
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Address of consumer(s)
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Signature of consumer(s)
_________________________
Date
The cost of return shall be borne by the consumer.
(*) Delete if not applicable