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DearDEMENEGOs.r.l.
ViaNazionale,49,32042
CalalzodiCadore(Belluno)–ITALY
I,theundersigned____________________________________Address_________________________________________
city______________________________Bymeansofthepresent,doherebynotifymyintentionto
withdrawfromthesalescontractrelatingtothefollowinggoods:
Ordern°___________________________
Productname___________________________
Productcode___________________________
Colour___________________________
Orderedon___________________________
Receivedon___________________________
Date Signature