Cancellation Form – Riviera Diamonds

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Contract Cancellation Form

If you wish to cancel the contract, please complete this form and return it to:

Riviera Diamonds Limited
DOWNTOWN Development GmbH
Monschauer Straße 7
40459 Düsseldorf
Germany

I/We (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*) / provision of the following service (*):

Details of Cancellation*

Ordered on*

Received at*

Name of consumer(s)*

Address of consumer(s)*

Signature of consumer(s)* (only if this form is submitted on paper)

Date*

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Riviera Diamonds Ltd.
5 New Street Square, London EC4A 3TW,
Great Britain

info@rivieradiamonds.com

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