Cancellation form
MODEL WITHDRAWAL FORM
(If you want to withdraw from the contract, please fill out this form and send it back)
To
Anisan Fashion UG (haftungsbeschränkt)
Hauptstr. 3A
54441 Ockfen
Fax: +49 6581 9849002
info@maracheno.eu
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 (*),
_______________________________________________
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Ordered on ___________________ (*)/received on _______________________(*)
Name of consumer(s) ______________________________________
Address of consumer(s)
_________________________________
_________________________________
_________________________________
_____________________
Date
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Signature of consumer(s) (only if this form is notified on paper)
(*) Delete as appropriate
