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(If you wish to withdrawn from the contract, please complete and return this form.)

To

Komar Products GmbH & Co. KG
Carl-Jordan-Straße 13
83059 Kolbermoor
Deutschland
info@komar.de



I/we (*) hereby withdraw from the contract which I/we (*) concluded for the purchase of the following goods (*)/ rendering of the following service (*)
   
Ordered on (*)/received on (*):



Name of consumer/s:



Address of consumer/s:


 






Signature of consumer/s (only if notification is submitted in paper form):




Date
 









_______________
(*) Delete as appropriate.