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Withdrawal form

Model withdrawal form


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



Hercon GmbH

Auf dem Loor 39

51143 Köln

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)



(*) Delete as appropriate.

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