Name:
Löwen Apotheke – Bereich – Versandapotheke aposmart
Anschrift: Friedrich-Ebertstr. 54, 55286 Wörrstadt
Fax: 06732/63025
Email: aposmart@web.de
(Wenn Sie den Vertrag widerrufen wollen, dann füllen Sie das Widerrufs-Formular aus und senden Sie es zurück.)
An:
Löwen Apotheke Bereich Versandapotheke aposmart
Friedrich-Ebertstr. 54, 55286 Wörrstadt
Fax: 06732/63025
Email: aposmart@web.de
Hiermit widerrufe(n) ich/wir (*) den von mir/uns (*) abgeschlossenen Vertrag über
den Kauf der folgenden Waren (*):
Bestellt am (*)/erhalten am (*):
Name des/der Verbraucher(s):
Anschrift des/der Verbraucher(s):
Datum:
Unterschrift des/der Verbraucher(s)
_____________________________
(*) Unzutreffendes streichen.
– Ende der Widerrufsbelehrung –
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