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Cancellation Form

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

 

To 

PVS Fulfillment Service GmbH
c/o MAC Mode
Werner-Haas-Str. 5
74172 Neckarsulm
Germany

 

I/we hereby revoke the contract concluded by me/us for the purchase of the following items in the MAC online shop:

.........................................................................................................................................................................

.........................................................................................................................................................................

.........................................................................................................................................................................

.........................................................................................................................................................................

 

Items ordered on: ............................. (date)

Items received on: ............................. (date)

 

Name and address of the customer 

................................................................... 

................................................................... 

................................................................... 

................................................................... 

 

Date ............................ 

Customer signature (only for written revocation) ................................................................... 

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