WITHDRAWAL FORM

(Pursuant to Article 49, paragraph 1, lett. H)

 

- Hereby I notified withdraw from my contract of sale of the following goods:

..........................

..........................

..........................

  • Ordered  .........................................
  • Received .........................................
  • Customer name................................................................................
  • Customer address............................................................................
  • Customer sign  (only if this form is notified on paper)
  • Date.......................................

N.B. (complete and return this form only if you want to withdraw from the contract)

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