To

Desi KG
Endres Straße 27
1230 Vienna
Austria

Email: office@desistore.at

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 consumer(s)

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Address of consumer(s)

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Signature of consumer(s) (only if notification is on paper)

_________________________
Date

(*) Delete as appropriate