Firma
ABEG Anlagen GmbH
Falkensteinstr. 13A
34132 Kassel
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Bezeichnung der Waren:
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Bestellt am ………………………………………………. Erhalten am ………………………………………………
Kundenname:
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Kundenanschrift:
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Unterschrift des Kunden (nur bei Mitteilung auf Papier):
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Datum des Widerrufs ………………………………………………
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