WITHDRAWAL FORM

Complete and return this form only if you wish to withdraw from the contract.

To: ATELIER1951 Inh.Christian Karch, Guenthersburgallee 53, 60316 Frankfurt a.M., Germany

I hereby give notice that I withdraw from my contract of sale of the following goods /for the provision of the following service.

By submitting this form, you agree that your data may be used to process your request.

(For more information and details on how to withdraw your consent, please see the “RETURNS” section.)

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