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Model withdrawal form

If you wish to withdraw from the contract, please complete and return this form. Use of the form is voluntary.

To Schorb Netzwerktechnik GmbH, An der Alaunhütte 20, 53842 Troisdorf, Germany; email: info@schorb-gmbh.de; fax: +49 2241 9171-81.

I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods / for the provision of the following service:

____________________________________________________________

Ordered on / received on: ___________________________________

Name of consumer(s): ________________________________________

Address: ___________________________________________________

____________________________________________________________

Signature, only if this form is submitted on paper: __________

Date: ______________________________________________________

Delete as appropriate.

Last updated: 3 November 2026

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