Model withdrawal form

If you wish to cancel the contract, please fill out this form and return it to

Big Difference GmbH & Co. KG
Am Hasselt 20c
D-24576 Bad Bramstedt

Fax: +49 4192 8919085
E-Mail: info@big-difference.com

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

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Ordered on (*) _____________ / received on (*) ________________

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Name of the consumer(s)

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Address of the consumer(s)

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Signature of the consumer(s) (only for notice on paper)

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Date

(*) Delete where not applicable