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Form Withdrawal
FORM LETTER OF REVOCATION
 
(Please copy and paste in Text Document or Email)
 
In case you want to revocate  your order please complete this form an return to :
 
Peter Krix
Coins & Curiosities
Eppendorfer Landstr. 12
D-20249 Hamburg
TEL : 040 – 46 41 07
 
With this letter/ declaration I revocate my order of (List of merchandise ordered) :
 
 
 
 
 
Date of Order : ............................ / Date of Reception : ..................................
 
Name/ First Name of Buyer …….....................................................................................................................
Address of Buyer : ….........................................................................................................................................
Date/ Signature (if appropriate) ………...........................................................................................................
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Specials
The Netherlands 7,50 Euro Rembrandt-Set Leiden 2006
The Netherlands 7,50 Euro Rembrandt-Set Leiden 2006
65.00€
41.65€
Peter Krix @ ALIBABA.com
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