Prices with or without VAT?
This setting applies to all prices but may be changed at any time.
 

Revocation form

Complete and return this form only if you wish to withdraw from the contract.

To

DICTUM GmbH
Donaustr. 51
94526 Metten, Germany


Phone: +49-(0)991-9109-902
Fax: +49-(0)991-9109-802
E-Mail: info@dictum.com

 

 

I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods / provision of the following service:

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

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

................................................................................................
(Name & Article number, Ordering number and Price)

 

Ordered on:  ............................. (Date)                                           

Received on: ............................. (Date)

 

Name and Address of consumer(s)

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

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

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

 

Date: ...................................                              

Signature of consumer(s): ..................................................
(only with message on papers)


Revocation form as PDF for Download

(To edit and save interactive forms in PDF format, you need a PDF reader such as Acrobat Reader from Adobe.)

Viewed