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If you wish to withdraw from the contract and do not want to use our online withdrawal button, please fill out this form and send it back.
To
010 Digital GmbH
Flurweg 11
82402 Seeshaupt
Germany
via fax: +49 8801 9119 - 013
by email: retouren@010digital.eu
I/We* hereby revoke the contract concluded by me/us* for the purchase of the following goods*/the provision of the following service*:
Ordered on*/received on*
Name of the person(s) revoking
Address of the person(s) revoking
Signature(s)
Date
* Delete where inapplicable.