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(If you wish to withdraw from the contract, please complete this form and return it to us.)

To:
Xplore Commerce GmbH
Wirtschaftspark Süd 20
8083 St. Stefan im Rosental
Email: [email protected]

I hereby give notice that I withdraw from my contract for the purchase of the following goods:

Ordered on / received on: ______________

Name of consumer: ______________

Address of consumer: ______________

Signature of consumer (only if this form is notified on paper): ______________

Date: ______________

Version 1.1.26