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Gabba Front Berlin

Berlin

Model withdrawal form

(complete and return this form only if you wish to withdraw from the contract)

- To
Steffen Reinecke
Heinrich-Heine-Str. 14
10179 Berlin
Germany

- 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 (*),

- Ordered on (*)/received on (*),

- Name of consumer(s),

- Address of consumer(s),

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

- Date