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Sample Cancellation Form

Model withdrawal form

(If you wish to withdraw from the contract, please fill out this form and send it back to us.)

To: Designeria e.U., Erdbrustgasse 7/9, 1160 Vienna, Austria, E-Mail: contact@designeria.at

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 (*)

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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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(*) Delete as appropriate.

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