If you wish to cancel the contract, please fill out and return this form.

To

Wiresoft Ltd & Co KG

Opernplatz14

60313 Frankfurt am Main

Germany

Email: [email protected]

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

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Ordered on (*) ____________ / received on (*) __________________

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Name des/der Verbraucher(s)

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Anschrift des/der Verbraucher(s)

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Signature of consumer(s) (only in case of paper notification)

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Datum

(*) Delete where not applicable