Model withdrawal form

Model withdrawal form

 

(complete and return this form only if you wish to withdraw from the contract)

 

To:
ILA Uhren GmbH
Otto-Hue-Strasse 42A
45772 Marl (Germany)
Email: shop@heinrichssohn.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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