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Withdrawal form

Withdrawal form


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

– To La Casa del Habano / Casa del Puro e.K., Hauptmarkt 9, 90403 Nürnberg, info@casadelpuro.de

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

– Ordered on (*) / received on (*)

– Name of the consumer (s)

– Address of the consumer (s)

– Signature of the consumer (s) (only when notified on paper)

– Date

(*) Delete if inapplicable.