151104_02 Muster Widerrufsformular HABA Online Deutschland

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151104_02 Muster Widerrufsformular HABA Online Deutschland
HABA Online Shop
Habermaaß GmbH
August-Grosch-Str. 28-38
96476 Bad Rodach
GERMANY
Tel.:
+49 9564 929 6666*
Fax:
+49 9564 929 662300
E-Mail: [email protected]
(regular fixed line tarriff from your telephone service
provider, cell phone charges may vary)
Customer number
First name, surname
Street, house number
ZIP code, town
Goods ordered on /
received on
I/We(*) hereby give notice of withdrawal from my/our(*) contract entered into for the
purchase of the following products
Article number
Article description
________________________
Place, date
(*) Delete as appropriate
Quantity
_________________________________
Signature

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