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:

Ordered on / received on:

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s) — only if this form is submitted on paper:

Date: