Withdrawal Form

Withdrawal Form

If you want to cancel the contract, please fill out this form and send it back.

 

To

PAN Conrad GmbH & Co. KG
Im Muehlenfeld 24
48163 Muenster
Germany

E-mail: shop@panoceanphoto.com

 

I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*)

 

_______________________________________________________

 

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Ordered on (*) ____________ / received on (*) ____________________________

 

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Name of the consumer(s)

 

________________________________________________________

 

Address of the consumer(s)

 

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Signature of the consumer(s) (only in case of communication on paper)

 

_________________________

 

Date

 

(*) Delete as appropriate

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