Modal Withdrawal Form

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

 

To

Sweet Lemon Publishing GmbH

Friesdorfer Str. 194A

53175 Bonn

Germany

info@nicegameshop.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 (*),

_______________________________________________

_______________________________________________

 

Ordered on ___________________ (*)/received on _______________________(*)

 

Name of consumer(s) ______________________________________

Address of consumer(s)

_________________________________

_________________________________

_________________________________

 

 

__________________________________________________________________________

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

(*) Delete as appropriate

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