Withdrawal

Complete and return this form only if you wish to withdraw from the contract.

To

W.T.M
c/o Lager Deutschland
Georg-Wilhelm-Str 13
21107 Hamburg
Germany

E-Mail: potenzmittel48@gmx-topmail.de

Withdrawal
Note: Delete as appropriate.
Name of consumer(s)
 
Address of consumer(s)
Your e-mail address, to immediately confirm the receipt of the withdrawal
Withdrawal date
Privacy I have read the privacy notice.
 

* required 

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