Model Withdrawal Form
Last updated: October 2026
Model Withdrawal Form
If you wish to withdraw from the contract, you may use this form. Use of this form is not mandatory.
Please send your withdrawal notice to:
Omnixol UG (haftungsbeschränkt)
Bergstraße 10
86453 Dasing
Germany
Email: info@omnixol.de
I/We hereby give notice that I/We withdraw from the contract concluded by me/us for the purchase of the following goods:
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Ordered on:
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Received on:
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Name of consumer(s):
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Address of consumer(s):
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Date:
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Signature of consumer(s):
Only required if this form is submitted on paper.
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