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Adsamm - Quality since 2005

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Revocation Form

To
Adsamm.com
SAMM Commerce GmbH
Bürgergasse 5
8010-Graz
AT

by email to:support@adsamm.eu

I/ We* revoke the concluded me/ us contract for the purchase of the following products/ the provision of the following service*.

 


Order date*/ received date*


Name of the consumer


Address of the consumer


Signature of the consumer (only required for communication on paper)


Date

* Please remove if not applicable.