Instructions on Withdrawal for Consumers
Model Withdrawal Form
(If you wish to withdraw the contract, please complete and return this form).
To
Alina Solopova GbR, Diepenau 5, 28195, E-mail-address: alinasolopovawork@gmail.com
I/we (*) hereby revoke the contract concluded by me/us (*) concerning the
purchase of the following goods (*)/provision of the following service (*)
______________________________________________________
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Ordered on (*) ____________ / received on (*) _________________
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Name of the consumer(s)
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Address of consumer(s)
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Signature of the consumer(s) (only in case of paper communication)
_________________________
Date
(*) Delete where inapplicable.