Model Withdrawal Form

Model Withdrawal Form

If you wish to withdraw from the contract, please complete this form and send it to:

DUEROS
Eleftherios Giannoussis
Ruiter Straße 44
73760 Ostfildern
Germany
Email: info@dueros.com

I/We hereby give notice that I/We withdraw from my/our contract for the purchase of the following goods:

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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 submitted on paper:

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Date:

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