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    Withdrawal form

    Withdrawal form

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

    To:

    by Nature BV
    Vogt 21
    6422RK Heerlen
    Niederlande
    E-Mail: mail@naturprodukte.shop

    I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods (*) / the provision of the following service (*)

    _______________________________________________________

    _______________________________________________________

    Ordered on (*) ____________ / received on (*) __________________

    ________________________________________________________
    Name(s) of the customer(s)

    ________________________________________________________
    Address of the customer(s)

    ________________________________________________________
    Signature(s) of the customer(s) (only when notified on paper)

    _________________________
    Date

    (*) Delete wrong passages