Model withdrawal form (If you want to cancel the contract, please fill out this form and send it back.)
• To: (insert the name, address and, where appropriate, the entrepreneur’s fax number and e-mail address)
• I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)
• 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
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