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Withdrawal form

If you want to revoke the contract, please fill out this form and send it back.

To:

Thomas Wiesenthal
Zum Schienerberg 25a
78337 Öhningen

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

Ordered on (*)/received on (*)

Name of consumer(s)

Address of consumer(s)

Signature of consumer(s) (only if notified on paper)

Date

___________

(*) Strike out where not applicable.

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