Revocation form

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

lucka.dog UG (limited liability)

At the Fillkuhle 13

44227 Dortmund

Germany (German)

fax: 0231-95488579

E-mail: egbers@lucka.dog

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

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

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Name(s) 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

(*) Delete as appropriate