Model cancellation form (If you want to cancel the contract, please fill out the form below and send it back to us.) — To die nadel HiFi & HomeCinema e.K., Kieler Str. 18, 41540 Dormagen, Deutschland, shop@dienadel.de — I / We(*) hereby give notice that I /We(*) cancel my/our (*) contract of sale of the following goods (*)/for the supply of the following service(*) — Ordered on (*) / received on (*) — Name of consumer(s) — Address of consumer(s) — Signature of consumer(s) (only if this for is notified on paper)
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