Withdrawal Form

Goethe Verlag GmbH
Waldspielplatz 30
82319 Starnberg

I/we (*) hereby revoke the contract concluded by me/us for the purchase of the following goods:
…………………………………………………………………………………(Quantity, if applicable order number and price)
Ordered on ……………………………
Received at …………………………

Name of the customer:
Address:

E-Mail:
Date:
Signature:

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