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    Withdrawal Form - en

    Uploaded by

    Karthik Kichu
    Karthik Selvan is filling out a withdrawal form to cancel his contract with PPRO Financial Ltd for a service ordered on November 18, 2016. The form requires him to provide his name, address, date of birth, phone number, email, card details, and signature to withdraw from the contract and service. He must send the completed form to PPRO Financial Ltd's service center in Munich, Germany.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Withdrawal Form - en

    Uploaded by

    Karthik Kichu
    104 views1 page
    Karthik Selvan is filling out a withdrawal form to cancel his contract with PPRO Financial Ltd for a service ordered on November 18, 2016. The form requires him to provide his name, address, date of birth, phone number, email, card details, and signature to withdraw from the contract and service. He must send the completed form to PPRO Financial Ltd's service center in Munich, Germany.

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    viabuy

    Original Title

    Withdrawal Form.en

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    Karthik Selvan is filling out a withdrawal form to cancel his contract with PPRO Financial Ltd for a service ordered on November 18, 2016. The form requires him to provide his name, address, date of birth, phone number, email, card details, and signature to withdraw from the contract and service. He must send the completed form to PPRO Financial Ltd's service center in Munich, Germany.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    104 views1 page

    Withdrawal Form - en

    Uploaded by

    Karthik Kichu
    Karthik Selvan is filling out a withdrawal form to cancel his contract with PPRO Financial Ltd for a service ordered on November 18, 2016. The form requires him to provide his name, address, date of birth, phone number, email, card details, and signature to withdraw from the contract and service. He must send the completed form to PPRO Financial Ltd's service center in Munich, Germany.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Withdrawal form

    If you want to withdraw from the contract, please fill out this form and send it to
    the address of the German service center of PPRO Financial Ltd:

    Card Services, Welfenstr. 22, 81541 Munich, Germany, E-Mail: [email protected]

    I hereby give notice that I withdraw from my contract for the provision of the following service:

    9-digit card account number 689645558

    Ordered on 18/11/2016

    First name KARTHIK

    Last name SELVAN

    Street / number ROLAND HOLSTLAAN 69

    Postal code / city 2624HB

    Country NETHERLANDS

    Date of birth 06/05/1989

    Phone number (as deposited on the order) 0649582556

    Email address (as deposited on the order) [email protected]

    Place & date Signature of consumer

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