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Place: [__]
Date: [__]
Full name: [__]
Address: [__]
Email / telephone: [__]
AMPERE POINT
Maxima Trading sp. z o.o. sp. k.
ul. Gdyńska 72
80-209 Tuchom
I hereby give notice of withdrawal from the distance sales Contract concluded through the Store https://www.amperepoint.pl/ concerning the following Goods:
Name of Goods: [__]
Quantity: [__]
Order number: [__]
Order date: [__]
Date of receipt of Goods: [__]
Please refund the payment to bank account: [__]
Consumer's signature: [__]
