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Model withdrawal form complete and return this form only if you wish to withdraw from the contract To Galina Pentzlin Daimler St. 14 70372 Stuttgart Germany Phone 491717290262 E-mail shop annarizatdinova.com I hereby give notice that I withdraw from my 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.

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How to fill out complete and return this

1. Step 1: Start by carefully reading the form or document that needs to be completed and returned.
2. Step 2: Gather all the necessary information and supporting documents that are required to fill out the form.
3. Step 3: Begin filling out the form, following the instructions provided. Make sure to provide accurate and truthful information.
4. Step 4: If any section of the form is unclear, seek help from the appropriate authority or consult the provided instructions.
5. Step 5: Double-check all the filled-out information for any errors or missing details. Correct any mistakes before proceeding.
6. Step 6: Once the form is completed, review it one more time to ensure everything is accurate and consistent.
7. Step 7: Attach any supporting documents as instructed, ensuring they are relevant and properly organized.
8. Step 8: Sign and date the form where required. Follow any additional guidelines or instructions regarding signatures.
9. Step 9: Make a copy of the completed form and all attached documents for your records.
10. Step 10: Send the completed form and any required documents back using the designated method (mail, email, fax, etc.) as indicated.

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10. Insurance companies may send forms that need to be filled out and returned by policyholders for claims or policy updates.

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