7/23/2019 Revocation Form

http://slidepdf.com/reader/full/revocation-form 1/1

Sample revocation form

If you would like to revoke the contract, please fill in this form and send it back to us, to:

Contabo GmbH Aschauer Str. !A"#$%& 'unichGermany(a): *%& "& !#+ +$" +!

Hereby, Iwe -/ revoke the contract about the followin0 services.

1rdered on:

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3ame of the consumer:

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 Address of the consumer:

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 22222222222222222222222222222222222222222222222 

 22222222222222222222222222222222222222222222222 

Si0nature of the consumer:

 22222222222222222222222222222222222222222222222 

-only when transmitted in written form, on paper/

4ate:

 2222.2222.22222222 

-/ 5lease delete where inapplicable.