Model withdrawal form

Complete and return this form only if you wish to withdraw from the contract to

Big Difference GmbH & Co. KG
Am Hasselt 20c
D-24576 Bad Bramstedt

Fax: +49 4192 8919085
E-Mail: info@yuki-model.de

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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Signature of consumer(s) (only if this form is notified on paper)

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Date

(*) delete as appropriate