Withdrawal Form

 

(I f you wish to withdraw from the contract, please complete and return this form to:)

BURGFYR
Sven Gerlach
Alpenrosenweg 64
22523 Hamburg

Phone +049 (0) 1577 2661584
E-Mail: kontakt@burgfyr.de

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

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Ordered on (*)/received on (*):

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Name:

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Adress:

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Signature (only necessary if you send this in printed on paper):

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Date:

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(*) Delete not necessary fields