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Tel.: +49 451 737 91

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Model Form of Withdrawal

If you want to cancel the contract, please fill out this form and send it back to:

: Courfory UG (haftungsbeschränkt)

: Kaninchenborn 27

: 23560 Lübeck

: Germany

: E- Mail: courfory@gmx.de

I/ We hereby revoke (*) the by me/ us (*) concluded contract for the purchase of the following goods (*)/ performance of the following services (*) *

Appointed on (*)/ received on (*) *

Name of consumer(s) *

Address of consumer(s) *

Din e-postadress *

Date *

Signature of consumer(s)

: (*) Strike out not appropriate

SenderName *