Withdrawal form

Sample withdrawal form
You can use the following cancellation form for cancellation

IPP
Iris Madl
Am Perlacher Forst 166
81545 Munich
Tel. +49-89-6926377
Email: info@kater-jacob.de

I/we (*) hereby cancel the contract concluded by me/us (*) for the purchase of the following goods (*)
(1)_____________________________
(2)_____________________________
(3)_____________________________
(4)_____________________________
(5)_____________________________
(continue as far as more articles have been purchased and their purchase contract is to be revoked)

Ordered on ____________________ (*)/received on ____________________ (*)
________________________(Your name)
________________________(Road, House number)
________________________(Postcode, Location)
______________(Date)
___________________________
Your signature (only if you are sending a paper copy)
(*) Delete where inapplicable

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