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Withdrawal Form

Complete and resubmit this form only if you wish to exercise your right of withdrawal in relation to the contract


TO:

Matthias Volkmar Varga
Address: Av. Meridiana 317, 2.2.
08027 Barcelona
Contact: [email protected]

I hereby inform you that I wish to exercise the right of withdrawal in relation to my contract for the sale of the following goods:


Purchased with date: ____________________________________

Order number: _______________________________________

Consumer Name: ___________________________________

Consumer Address:
Street / No: ______________________________________________

Postal Code / Municipality: __________________________________

Country: ___________________________________________________

 

Consumer’s signature:
[Note. Only if this form is notified on paper]


Date: _______________________________________

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