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Withdrawal Form


(complete and return this form only if you wish to withdraw from the contract)

To:
Qubzee Ltd.,
support@qubzee.com
Abacus Business Centre, Level 1,
Dun Karm Street, B'Kara Bypass,
Birkirkara BKR 9037, Malta

I _______________ hereby give notice that I withdraw from my _______________ contract of sale of the following goods:

______________________________,

ordered on _______________, received on _______________.


Name of consumer:

______________________________.

Address of consumer:

______________________________.

E-mail of consumer:

______________________________.

Signature of consumer:

______________________________(only if this form is notified on paper)

Date:

______________________________.




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