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Model withdrawal form

(To withdraw from this contract of sale, please complete this form and return it to us.)

- To:

XING AG
Dammtorstrae 29-32
20354 Hamburg
Germany
Fax: +49 40 419 131 11
E-mail: de-invoice@xing.com

- 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 of consumer(s):

_______________________________________________________

______________________________________________________
Signature of consumer(s) (only if this form is notified on paper)

_____________________________
Date

_______
(*) Delete as appropriate.