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Withdrawal form

please complete this form only if you wish to withdraw from the contract and return it



to
e+m Holzprodukte GmbH & Co. KG.
Regensburger Str. 95
D - 92318 Neumarkt i.d. Opf.
Germany

Fax to: +49 (0) 9181 29 75 85
E-Mail to: info@em-holzprodukte.de



I/we* hereby give notice that I/we* withdraw from my/our*sales contract of the following goods

 


(product name, order-no.)

 


ordered at*/ received at*

 


consumer’s name

 


consumer‘s adress

 


consumer’s signature (only if this form is notified on paper)

 


date

 

* delete as applicable.