Model withdrawal form

(If you wish to withdraw from the contract, please fill out this form and return it.)

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To:
Rybin und Dashevskyy GbR
Wilhelm-Beyer-Weg 10
90429 Nürnberg
Germany
Email: zeigerzeit@gmail.com

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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 consumer(s): _______________________________________________

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Address of consumer(s): _______________________________________________

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Signature of consumer(s) (only for notification on paper): _______________________________________________

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Date: _______________________________________________

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(*) Delete as appropriate.