Withdrawal Form

Goethe Verlag GmbH
Waldspielplatz 30
82319 Starnberg

I/We (*) hereby withdraw the contract I/we have concluded for the purchase of the following goods:
…………………………………………………………………………………(Quantity, if applicable Order No. and Price)
Ordered on ……………………………
Received on …………………………

Name of the buyer:
Address:

Email:
Date:
Signature:

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