Withdrawal form

At VERITAS DATA GmbH
Berliner Allee 65
64295 Darmstadt
Fax: +49 6151 - 950 38 56
Mail: info@veritas-data.de

Revocation *Hereby I/we withdraw the Treaty concluded by me/us on the purchase of the following goods / provide the following services: Note: Please delete what is not applicable and add your text

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