(Pursuant to Article 49, paragraph 1, lett. H)
- Hereby I notified withdraw from my contract of sale of the following goods:
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- Ordered .........................................
- Received .........................................
- Customer name................................................................................
- Customer address............................................................................
- Customer sign (only if this form is notified on paper)
- Date.......................................
N.B. (complete and return this form only if you want to withdraw from the contract)