Complete and return this form only if you wish to withdraw from the contract.
To: Alessanderx S.p.A., Via San Leonardo da Porto Maurizio 24/26/28, 59100 Prato, Italy — tel. +39 0574 51011 — info@magniflex.com
I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods:
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Ordered on (*) / received on (*)
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Name of consumer
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Address of consumer
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Signature of consumer (only if this form is notified on paper)
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Date
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(*) Delete as appropriate.
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