Informationen
Sample Withdrawal Form
(If you wish to withdraw from the contract, please complete this form and return it.)
To
Dominique London Deutschland GmbHHauptmarkt 9
90403 Nuremberg, Germany
Phone: +49 (0) 911 974 66 90
Fax: +49 (0) 911 974 66 91
Email: info@casadelpuro.de
I/ we (*) hereby withdraw from the contract concluded by me/ us (*) for the purchase of the following goods (*)/
the provision of the following service (*)
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Ordered on (*)/ received on (*)
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Name of the consumer(s)
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____________________________________
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Address of the consumer(s)
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Date, signature of the consumer(s) (only if notified on paper)
*) Delete as appropriate.