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Rescission Form If you want to cancel the contract, please fill out this form and send it back. To audioScope.net Stefano De Mario Sartor Schulstrasse 26 D-26969 Butjadingen or to email: [email protected] I / we (*) hereby revoke the contract concluded by me / us (*) about the purchase of the following goods (*) / the provision of the following service (*) ---------------------------------------------------------------------------------------- Ordered on (*) / received on (*): ---------------------------------------------------------------------------------------- Name of the consumer (s): ---------------------------------------------------------------------------------------- Address of the consumer (s): ---------------------------------------------------------------------------------------- Signature of the consumer (s) (only when notified on paper) ---------------------------------------------------------------------------------------- Date: ---------------------------------------------------------------------------------------- (*) Delete where inapplicable.

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