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Standard withdrawal form

(Complete and return this form only if you wish to withdraw from the contract)
Detailed information for returning items can be found in this form.
Please print form, fill in all fields and include printed form in package with return goods.
SENDER: (Please fill in block letters)
Name:
Street:
Postcode and city:
Order number
 
 

I hereby give notice that I withdraw from my contract of sale of the following goods:

Nr. Item name Item number Quantity
       
       
       
       
PLEASE RETURN THE PAYMENT TO:
IN CASE OF QUESTIONS   CAN CONTACT ME BY:
Telephone:
E-Mail:

With kind regards

 
 
Tel:   - Email: