WITHDRAWAL FORMULAR

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

 

On:

Larisa Pitkevich, t7berlin, Tauentzienstrasse, 7b / c, 10789, Berlin

lp@t7berlin.com

 

 

I / we (*) hereby revoke my / our ____________________________________________________________________________

 

concluded contract for the purchase of the following goods: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

Ordered on __________________________________ / received on ___________________________________________

 

Name of the consumer (s) __________________________________________________________________________________________________

 

 

Address of the consumer (s) ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

Signature of the consumer (s) (only for notification on paper)

 

 

 

 

date

t7berlin

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