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Model Withdrawal Form

For customers that wish to withdraw from the contract, please provide the following information and return to the following address. (*) Can be deleted as appropriate.

 

 

 To:

 

Qalo Europe GmbH

 

Magnusstraße 13

 

50672 Köln

 

Germany

 

 Fax: +49 (8022) 7056587

 

Email: support@qalo.eu

 

 

 

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 (*),

 


- Ordered on (*)/received on (*),

 

 

- Name of consumer(s),

 


- Address of consumer(s),

 


- Signature of consumer(s) (only if this form is notified on paper),

 


- Date

 


____________________

   

 

QALO Europe GmbH

 

Magnusstraße 13

 

50672 Köln

 

Germany

 

 


Tel.: +49 (0) 8022 7056589

 

Fax: +49 (0) 8022 7056587

 

E-Mail: support@qalo.eu

 

Internet: www.qalo.eu