Cancellation Form

(If you wish to revoke the contract, please fill out this form and send it back.)

To:
MUCHNA Tech
Weststrasse 117
8003 Zürich
info.muchna@gmail.com


I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*):

Ordered on: _______________
Received on: _______________
Order number: _______________

Name of consumer(s): ___________________________

Address of consumer(s): ___________________________

Signature of consumer(s) (only for notification on paper):
___________________________

Date: _______________


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