If you want to revoke the contract, please fill out this form and send it back.

To

Wiresoft AG
Oberneuhofstrasse 5
6340 Baar
Switzerland
Email: [email protected]

Herewith, I/we (*) 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 for paper communication)

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Date

(*) Cross out what does not apply