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Sample Withdrawal Form

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

To

Thomas Henning e.K.
Buschurweg 4
DE 76870 Kandel

  • I/we (*) hereby withdraw from the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

  • Ordered on (*)/received on (*)

  • Name of the consumer(s)

  • Signature of the consumer(s) (only required if this notification is on paper)

  • Date

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(*) Delete where inapplicable.