Withdrawal Policy for Consumers

Sample Withdrawal Form

(If you want to withdraw from the contract, please fill out this form and send it back.)

WAGENER Spezialmaschinenbau GmbH, Max-Planck-Str.8, 53577 Neustadt - Fernthal, Email: info@smw-wagener.de, Fax: 0049268331173

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 (*)

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Ordered on (*) ____________ / received on (*) _________________

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Name of consumer(s)

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Address of consumer(s)

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Consumer(s) signature(s) (only if this form is notified on paper)

_________________________

Date

(*) Delete as appropriate.

Created with Datenschutz-Generator.de by Dr. Thomas Schwenke