Model Withdrawal Form

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

To:
GutRad GmbH
Kanzachmühle 5
88276 Berg
Germany
Email: service@gutrad.com

I / We (*) hereby give notice that I / We (*) withdraw from my / our (*) contract of sale of the following goods (*) / for 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.