Cancellation form

Model Withdrawal Form

(If you wish to withdraw from the contract, please complete and return this form.)

To:
BXG tech GmbH
Mühlenstraße 70c
25421 Pinneberg
Germany
E-Mail: info@bxgtech.de

I/We (*) hereby withdraw from the contract concluded by me/us (*) for the purchase of the following goods (*) / the provision of the following service (*)

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Ordered on (*) / received on (*)

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Name of consumer(s)

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Address of consumer(s)

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Signature of consumer(s)
(only if this form is notified on paper)

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Date
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(*) Delete as appropriate.