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Sample Withdrawal Form

If you wish to withdraw from the contract, please complete this form and return it to:

SEI DESIGN Home Textiles

c/o Irina Richter Customer Service Department

Sachsenhausener Str. 6D 16515 Oranienburg

Email: service@sei-design.de

Fax: 03301/83926-26

I/we* hereby withdraw from the contract for the purchase of the following goods*/ provision of the following service*:

Ordered on* ____________________ / received on* ____________________

Name: ________________________________________________

Order or Customer Number: ________________________________

Address: ________________________________________________

Date: _______________________

Signature: ______________________________ (only required if sending on paper)

  • Delete as appropriate.

withdrawal form
If you want to revoke the contract,
Then please fill out this form
and send it back.
On:
SEI DESIGN home textiles
Inh. Irina Richter
service department
Sachsenhausen Str. 6D
16515 Oranienburg
e-mail: amazon@techniktrade.de
Fax: 03301 / 83926-26
Hereby I / we * revoke this from me / us *
concluded contract for the purchase of
following goods * / providing the following services *
Ordered on * ____________________ / received on * ______________
Surname
________________________________________________

Order
-
or
customer number
________________________________________________

address
________________________________________________
________________________________________________
date
_____________________________
signature
______________________________
(only required on paper)
* Please delete as appropriate.