Cancellation form

To: Rainbow Watch GmbH

Kerpstrasse 17

53844 Troisdorf

Germany

Fax: 0049 2241 1693965

Email: sales@rainbow-watch.de

I/we hereby revoke the Contract for the purchase of the following goods /

the provision of the following services I/we have concluded:

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 (Name of the goods, possibly order number and price)

Goods ordered on:

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(Date)

Goods were recieved on:

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(Date)

Name and address of the consumer:

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

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Date

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Signature of customer

(only with written revocation)