Model withdrawal form
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Model withdrawal form (Complete and return this form only if you wish to withdraw from the contract.) To: Lexmaul performance Owner: Dimitrios Bilas Maybachstrasse 3 D-63322 Roedermark Germany Fax: +49(0)6074/9180016 E-mail: info@lexmaul.de 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 (*) __________________________________________________ __________________________________________________ Ordered on (*) / received on (*) ________________________ __________________________________________________ Invoice number _____________________________________ Name of consumer(s) ________________________________ Address of consumer(s) __________________________________________________ __________________________________________________ __________________________________________________ Signature of consumer(s) (only if this form is notified on paper) Date _______________ (*) Delete as appropriate. |
