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Sample Withdrawal Form

Sample Withdrawal Form

If you wish to withdraw from the contract please fill in this form and return it.

To: Kümmel und Co. GmbH, Lochweg 19, 97318 Kitzingen, Germany Tel. +49 9321 38780, Fax +49 9321 387833, info@dress-for-school.de

I/we (*) hereby withdraw from the contract concluded by myself/us (*) for the purchase of the following goods (*)/for the performance of the following services (*)

_____________________________________________

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Ordered on (*): _______________ Received on (*): ______________



Name(s) of the consumer __________________________________________



Address of the consumer __________________________________________



________________________________________________________
Signature of the consumer (only required for paper forms)



Date: __________________

(*) Delete as appropriate

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