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Model Withdrawal Form

Model Withdrawal Form

link:  Model Withdrawal Form as pdf file 

 

Model withdrawal form

 

(If you want to cancel the contract, please fill out this form and send it back.)

 

- At Company: Perfect acoustics

Information on the legal representative: owner: Horst Wenzel

Address: Brungsgasse 14, 53117 Bonn

E-mail address: akuperf@t-online.de or

Fax: +49 3222/240 86 25 -

 

Hereby give notice that (s) I / we (*) from my / us (*) for the purchase of the following products (*) / provision of the following services (*)

 

- Appointed on (*) / received on (*)

 

 

- Name / consumer (s)

 

 

- Address of the / consumer (s)

 

 

- Signature of person / consumer (s) (with message on paper)

 

 

- date

 

(*) Delete where inapplicable