Model withdrawal form (Annex I.B)

Complete and return this form only if you wish to withdraw from the contract.

We hereby give notice that we withdraw from our contract of sale of the following goods / for the supply of the following service:

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Ordered on / received on:

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Name of consumer(s):

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Address of consumer(s):

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Signature of consumer(s) (only if this form is notified on paper):

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Date:

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Annex I, Part B of Directive 2011/83/EU of the European Parliament and of the Council on consumer rights.