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CAD0111

international magazine of II would like to subscribe to (4 issues per year) for €44 including shipping and VAT for German customers, €46 inclu- ding shipping and VAT for customers outside Germany, unless a written cancellation is sent within 14 days of the receipt of the trial subscription. The subscription will be renewed automati- cally every year until a written cancellation is sent to Dental Tribune International GmbH, Holbeinstr. 29, 04229 Leipzig, Germany, six weeks prior to the renewal date. Last Name, First Name Company Street ZIP/City/County E-mail Signature Signature DENTAL TRIBUNE INTERNATIONAL GMBH Holbeinstraße 29, 04229 Leipzig, Germany, Tel.: +49 341 48474-302, Fax: +49 341 48474-173, E-Mail: n.parczyk@dental-tribune.com Reply via Fax +49 341 48474-173 to Dental Tribune International GmbH or per E-mail to n.parczyk@dental-tribune.com Notice of revocation: I am able to revoke the subscription within 14 days after my order by sending a written cancellation to Dental Tribune International GmbH, Holbeinstr. 29, 04229 Leipzig, Germany. CAD/CAM1/11