Revocation form
To:
portatronics Jan Fuerstenberg
Dorotheenstr. 34
53111 Bonn
Deutschland
Telefon:: +49228631627
Telefax:: +4922896399265
http://www.portatronics.de
E-mail:: support@portatronix.de
Unsere Umsatzsteuer ID: DE259171620
iThe present form will be sent to the e-mail-address of the on the left listed shop owner.
The mail will also be sent to your below indicated e-mail-address for your record.
If you have got a customer account with us, please log in - if you haven't done so already - and your customer data will be filled in automatically.