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Model withdrawal form
Withdrawal
Complete and return this form only if you wish to withdraw from the contract.
To
Germany
E-Mail:
info@paednfl.eu
Withdrawal
Withdrawal
I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods/for the provision of the following service:
Note: Delete as appropriate.
Ordered on
Received on
Name of consumer(s)
Gender
Mr
Miss/Ms/Mrs
Firstname
Lastname
Address of consumer(s)
No./Street
Postcode/ZIP / Town
Country
Your e-mail address, to immediately confirm the receipt of the withdrawal
Your e-mail
Withdrawal date
Withdrawal date
Privacy
I have read the
privacy notice
.
Send withdrawal
* required
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