Model withdrawal form


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



To

Mini Mundus Hobby GmbH
Raiffeisenstr. 3
D-63303 Dreieich
Germany

Email: info@minimundus.de
Phone: +49 6103 94 890
Fax:     +49 6103 81 087


I hereby
revoke the concluded contract for the purchase of the following products:


  1. _______________________________________________________________

  2. _______________________________________________________________

  3. _______________________________________________________________

  4. _______________________________________________________________


Ordered on   ______________


Order no.      ______________


Received on  ______________


Customer name:


___________________________________________


Phone number of the customer for inquiries:


___________________________________________


Address of the customer:


___________________________________________


___________________________________________


___________________________________________



______________

Date


___________________________________________

Signature of the customer
(only necessary if sent on paper)



FAST ORDER [more]

Product.Nr. quantity


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