Return Form

If you want to cancel the contract, please fill out this form and send it back to us.

To
NXpower GmbH
Bischofstr. 80
D-47809 Krefeld
Fax: +49 (2151) 51 889 – 28
Email: [email protected]
I/we hereby cancel the contract concluded by me/us for the purchase of the following goods / the provision of the following service:

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(Name of the goods, if applicable, order number and price)

Ordered on:

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(Date)

Received on:

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(Date)

(Name and address of the consumer)

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7. Date:

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Signature of customer
(only in case of written cancellation)