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withdrawal form

(If you want to withdraw from the contract, please fill out this form and send it back.)

. - At Olaf Matthies, Antwerp Str 10, 28259 Bremen, E-mail address: info@maximum-sport.de:

- Hereby revoke (s) I / We (*) withdraw from my / our (*) contract entered into for the purchase of the following goods (*) /
   the provision of the following service (*)

- Ordered on (*) / received on (*)

- Name / consumer (s)
- Address of the / consumer (s)
- Signature of / consumer (s) (only for message on paper)
- date

(*) Delete where inapplicable.

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