Sample withdrawal form
(If you want to revoke the contract, please fill out this form and send it back.)
At :
Kurth Classics UG (limited liability)
Norman Kurth
Industriestr. 66-68
50389 Wesseling
Email [email protected]
I/we (*) hereby revoke 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 consumer(s)
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Address of consumer(s)
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Signature of consumer(s) (only if notification is on paper)
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date
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(*) Delete where not applicable.