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Withdrawal Form


To

LA VEE
Virginie Paessler
Rumfordstr. 38
D-80469 Munich
info(at)la-vee.com

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)

________________________________________________________
Signature of consumer(s) (only if this form is submitted on paper)

_________________________
Date

(*) Delete as appropriate.