Declaration of Withdrawal
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# Declaration of Withdrawal
Addressed to: Bertalan Gábor EV.
(address: 2045 Törökbálint, Hársfa utca 28., e-mail: gabor.bertalan@timelesschrono.hu)
I/We hereby declare my/our withdrawal from the contract concluded by me/us for the purchase of the following goods or the provision of the following service:
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Date of contract conclusion / Date of receipt of goods: ........................................................................
Name of consumer(s): ...........................................................................................................................
Address of consumer(s): .......................................................................................................................
Please transfer the purchase price to the following bank account (only fill in if you want us to refund the purchase price by bank transfer):
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Signature of consumer(s): (only for notifications on paper)
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Date: