Right of withdrawal
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Cancellation form
If you wish to cancel the contract, please fill out this form and
send it back.
To:
Nordwelt Versand GmbH i. L.
Managing Director: Oliver Bode
An der Windmühle 1
D- 31079 Sibbesse
Email: nordwelt-versand@nordwelt-versand.de
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 (*)
Name of consumer(s)
Address of consumer(s)
Signature of consumer(s) (only if this form is notified on paper)
Date
(*) Delete as appropriate.
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