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MODEL WITHDRAWAL FORM


Attachment No. 1

WITHDRAWAL FROM THE CONTRACT

 

[this form must be completed and returned only if you wish to withdraw from the contract].

 

Addressee:

Turbojulita Krzysztof Witek Sp. k. based in Wrocław,

Ul. Danuty Siedzikówny 2, 51-214 Wrocław.

 

I/We(*) hereby inform(*) about my/our(*) withdrawal from the sales contract of the following products:

1 ...............................................................................................................

 

Date of conclusion(*)/collection(*) .....................................................................

Name of consumer(s) .......................................................................

Address of consumer(s) ...................................................................................

Bank account number for reimbursement ................................................................

 

Signature of consumer(s) ..................................................................................

[only if this form is sent on paper]

Date ...........................................................................................................

 

(*) Delete as appropriate

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