(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
