Withdrawal Form
Cancellation form

If you wish to cancel a contract, please complete and send this form to:

knoblach technologies GmbH
midiphy webshop
Heuwinklstrasse 22
82393 Iffeldorf
Germany

or send via e-mail: shop@midiphy.com
Telephone: +49 8856 9017620

I hereby give notice, that I cancel my contract of sale for the following goods:

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Ordered on (+) ____________ / received on (+) ______________

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Name of consumer(s)

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Address of consumer(s)

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Signature of consumer(s) (only if this form is notified on paper)

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Date
(+) Delete as appropriate