Model withdrawal form

(complete and return this form only if you wish to withdraw from the contract)


To:  
 
A.u.S. Spielgeräte GesmbH

Scheydgasse 48
1210 Wien
Austria
 
Fax: +43 (1) 2716600-75
E-Mail: info@geldbearbeitung.at  
 
 
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 (*) _______________________________  
 
 
 
Name of consumer(s)  
 

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Address of consumer(s)  
 

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

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(*) Delete as appropriate