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Muster-Widerrufsformular

Muster-Widerrufsformular

Withdrawal form
(complete and return this form only if you wish to withdraw from the contract)

— To Jutta Möller, Burggartenstrasse 19, 53115 Bonn, Germany; jm@farbmasche.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 (*)

— Name of consumer(s)

— Address of consumer(s)

— Signature of consumer(s) (only if this form is notified on paper)

— Date

(*) Delete as appropriate.

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