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Form of withdrawing from the agreement

FORM OF WITHDRAWING FROM THE AGREEMENT
(this form should be filled in and returned only if you wish to withdraw from the contract)

MARCIN USZAK
ul. Marcinkowskiego 10h/8, 66-400 Gorzów Wielkopolski, Poland e-mail address: admin@buty-mustang.pl

- I ......................................................................... hereby give notice of termination of the contract of sale of the following goods:

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- Date of receipt .........................................................................................................................................................................................................

- Name and surname of the Consumer(s) .....................................................................................................................................................................

- Consumer(s) address ......................................................................................................................................................................................

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Signature of the Consumer
( only if the form is sent in paper version)


Date ............................................

(*) Delete as applicable.

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