Model withdrawal form

If you want to cancel the contract, please fill out this form and send it back.

At

euro-ipl-shop.de
Ledermann Business Development GmbH
Nordkanalstrasse 52
20097 Hamburg

Email: info@euro-ipl-shop.de

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

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Ordered on (*) ____________ / received on (*) ___________

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Name of the consumer (s)

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Address of the consumer (s)

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Signature of the consumer (s) (only for notification on paper)

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date

(*) Delete where inapplicable