Withdrawal form
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Place, date
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Name and Surname of the Consumer(s)
Address of the Consumer(s)
To: Franz GL Magdalena Piwowarska - Szurogajło
ul. Heweliusza 1/16
60-281 Poznań
tel: +48 662 815 611
e-mail: info@franzgl.com
The Withdrawal Form
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 (*) ............................................................................................................
Ordered on (*)/received on (*),...............................................................
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Signature of consumer(s) (only if this form is notified on paper)
(*) Delete as appropriate.