Kling Jewels` Withdrawls Form

(If you wish to withdraw from the contract, please complete and return this form.)

To:
Kling Jewels
Daniel Kling
Friedrich-Engels-Straße 49
16827 Alt Ruppin
Germany
Email: info@klingjewels.de

I/We (*) hereby give notice that I/we (*) withdraw from my/our (*) contract of sale of the following goods (*):

Ordered on (*)/Received on (*):

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s) (only if submitted on paper):

Date:

(*) Delete as appropriate

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